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KMID : 1144020190150010055
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Journal of Korean Association for Disability and Oral Health
2019 Volume.15 No. 1 p.55 ~ p.59
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DENTAL TREATMENT OF A PATIENT WITH PIERRE ROBIN SEQUENCE UNDER GENERAL ANESTHESIA: A CASE REPORT
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Lee Sophia
Song Ji-Soo
Shin Teo-Jeon
Kim Young-Jae
Kim Jung-Wook
Jang Ki-Taeg
Lee Sang-Hoon
Hyun Hong-Keun
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Abstract
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Pierre Robin sequence(PRS) is characterized by a triad of clinical signs: micrognathia, glossoptosis and cleft palate. These anatomical deformities of PRS predispose patients to respiratory problems and feeding difficulties at birth. Maintaining oral hygiene and enduring dental treatment are complicated by their general conditions of PRS patients. We present a case of dental treatment of PRS patient under general anesthesia.
A 3-year-old boy with PRS visited Seoul National University Dental Hospital for caries treatment. Clinical and radiographic examinations revealed multiple carious lesions. Considering the patient’s medical condition and compliance of treatment, dental treatment under general anesthesia was decided. Despite expected challenges of managing the airway of the patient, intubation was performed successfully. The patient was treated with pulp treatments and restorations using composite resin and stainless steel crowns. No complications were observed during and after the procedure.
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KEYWORD
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Pierre Robin sequence, Dental treatment, General anesthesia
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