Wisdom teeth extraction in a patient with moyamoya disease
Seto Mika, Aoyagi Naoko, Koga Sayo, Kikuta Toshihiro,
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( Seto Mika ) - Fukuoka University Faculty of Medicine Department of Oral and Maxillofacial Surgery
( Aoyagi Naoko ) - Fukuoka University Faculty of Medicine Department of Oral and Maxillofacial Surgery
( Koga Sayo ) - Fukuoka University Faculty of Medicine Department of Oral and Maxillofacial Surgery
( Kikuta Toshihiro ) - Fukuoka University Faculty of Medicine Department of Oral and Maxillofacial Surgery
KMID : 0355620130390060289
Abstract
Moyamoya disease is a rare neurovascular disorder that involves constriction of certain arteries in the brain. In patients with moyamoya disease, it is very important to prevent cerebral ischemic attacks and intracerebral bleeding caused by fluctuating blood pressure and increased respiration. A 40-year-old woman with moyamoya disease was scheduled for extraction of her right upper and lower impacted wisdom teeth. Her lower impacted wisdom tooth was situated close to the inferior alveolar nerve. We decided to continue her oral antiplatelet therapy and planned intravenous sedation with analgesic agents administered approximately five minutes prior to extraction of the root of the mandibular wisdom tooth. Oral analgesic medications were regularly administered postoperatively to alleviate pain and anxiety. During the perioperative period, no cerebrovascular event occurred, and the wisdom teeth were successfully extracted as per the planned procedure. It is thought that the perioperative risks of wisdom tooth extraction in patients with moyamoya disease can be minimized with the use of our protocols.
키워드
Moyamoya disease; Local anesthesia; Deep sedation; Safety Management
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