Journal of Dental Anesthesia and Pain Medicine
- 제15권3호
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- Pages.173-179
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- 2015
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- 2383-9309(pISSN)
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- 2383-9317(eISSN)
DOI QR Code
Full mouth rehabilitation of a patient with Sturge-Weber syndrome using a mixture of general and sedative anesthesia
- Doh, Re-Mee (Department of Advanced General Dentistry, School of Dentistry, Dankook University) ;
- Yu, Tae-min (Department of Advanced General Dentistry, School of Dentistry, Dankook University) ;
- Park, Wonse (Department of Advanced General Dentistry, School of Dentistry, Yonsei University) ;
- Kim, Seungoh (Department of Anesthesiology, School of Dentistry, Dankook University)
- 투고 : 2015.07.23
- 심사 : 2015.09.13
- 발행 : 2015.09.30
초록
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.
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