Local anesthesia of the temporomandibular joint to reduce pain during mouth opening for dental treatment in a patient with spinal muscular atrophy.
10.17245/jdapm.2016.16.2.137
- Author:
Seong In CHI
1
;
Hyun Jeong KIM
;
Kwang Suk SEO
;
Jong Ho LEE
;
Juhea CHANG
Author Information
1. Department of Dental Anesthesiology, School of Dentistry, Seoul National University, Seoul, Korea. stone90@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Dental care for disabled;
Spinal muscular atrophy;
Temporomandibular joint disorder
- MeSH:
Adolescent;
Anesthesia;
Anesthesia, General;
Anesthesia, Local*;
Dental Care for Disabled;
Humans;
Infant;
Male;
Mortality;
Motor Neurons;
Mouth*;
Muscles;
Muscular Atrophy, Spinal*;
Spine;
Temporomandibular Joint Disorders;
Temporomandibular Joint*
- From:Journal of Dental Anesthesia and Pain Medicine
2016;16(2):137-140
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spinal muscular atrophy (SMA) is an autosomal recessive, severe neuromuscular disorder in which degeneration of alpha motor neurons in the spine progressively weakens and ultimately paralyzes the proximal muscles. It occurs in one per 6,000-10,000 infants, and is a genetic disorder with the second-highest mortality rate worldwide. An 18-year-old male patient with SMA was referred for general anesthesia for difficulty in performing dental treatment due to limited mouth opening caused by temporomandibular joint (TMJ) pain. However, the patient had a high risk of general anesthesia complications, so TMJ pain during mouth opening was reduced through local anesthesia of the TMJ. Fortunately, the anesthesia was successful in reducing pain during mouth opening, enabling the patient to receive dental treatment with an adequate mouth opening.
