Full mouth rehabilitation of a patient with Sturge-Weber syndrome using a mixture of general and sedative anesthesia.
10.17245/jdapm.2015.15.3.173
- Author:
Re Mee DOH
1
;
Tae Min YU
;
Wonse PARK
;
Seungoh KIM
Author Information
1. Department of Advanced General Dentistry, School of Dentistry, Dankook University, Cheonan, Korea.
- Publication Type:Case Report
- Keywords:
Dental care for the disabled;
General anesthesia;
Mouth rehabilitation;
Sedation;
Sturge-Weber syndrome
- MeSH:
Adult;
Airway Management;
Anesthesia*;
Anesthesia, General;
Anxiety;
Dental Clinics;
Dentition;
Gingiva;
Hemorrhage;
Humans;
Infusions, Intravenous;
Intellectual Disability;
Lip;
Mouth Rehabilitation*;
Mouth*;
Mucous Membrane;
Nevus;
Rehabilitation;
Seizures;
Sturge-Weber Syndrome*
- From:Journal of Dental Anesthesia and Pain Medicine
2015;15(3):173-179
- CountryRepublic of Korea
- Language:English
-
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.
