Full mouth rehabilitation of a patient with Sturge-Weber syndrome using a mixture of general and sedative anesthesia
도래미, 박원서, 김승오,
소속 상세정보
도래미 ( Doh Re-Mee ) - Dankook University School of Dentistry Department of Advanced General Dentistry
박원서 ( Park Won-Se ) - Yonsei University College of Dentistry Department of Advanced General Dentistry
김승오 ( Kim Seung-Oh ) - Dankook university School of Dentistry Department of Anesthesiology
KMID : 0980320150150030173
Abstract
Issues related to the control of seizures and bleeding, as well as behavioral management due to mental retardation, render dental treatment less accessible or impossible for patients with Sturge-Weber syndrome (SWS). A 41-year-old man with SWS visited a dental clinic for rehabilitation of missing dentition. A bilateral port-wine facial nevus and intraoral hemangiomatous swollen lesion of the left maxillary and mandibular gingivae, mucosa, and lips were noted. The patient exhibited extreme anxiety immediately after injection of a local anesthetic and required various dental treatments to be performed over multiple visits. Therefore, full-mouth rehabilitation over two visits with general anesthesia and two visits with target-controlled intravenous infusion of a sedative anesthesia were planned. Despite concerns regarding seizure control, bleeding control, and airway management, no specific complications occurred during the treatments, and the patient was satisfied with the results.
키워드
Dental care for the disabled; General anesthesia; Mouth rehabilitation; Sedation; Sturge-Weber syndrome
원문 및 링크아웃 정보
등재저널 정보