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KMID : 1144020190150010074
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Journal of Korean Association for Disability and Oral Health
2019 Volume.15 No. 1 p.74 ~ p.78
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DENTAL TREATMENT IN A PATIENT WITH ATYPICAL TERATOID RHABDOIDAL TUMOR UNDER GENERAL ANESTHESIA
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Kim Hyun-Tae
Song Ji-Soo
Hyun Hong-Keun
Kim Young-Jae
Kim Jung-Wook
Jang Ki-Taeg
Lee Sang-Hoon
Shin Teo-Jeon
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Abstract
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Atypical teratoid rhabdoidal tumor(AT/RT) is a rare and fast-growing tumor usually diagnosed in childhood. Routine magnetic resonance imaging(MRI) assessment of AT/RT patients is done to detect metastatic tumors and recurrent lesions. The purpose of this case report is to present a case about caries treatment of a 3-year-8-month old female patient with AT/RT under general anesthesia.
A 3-year-8-month old patient with AT/RT visited Seoul National University Dental Hospital for caries treatment. At the first dental visit, she was receiving chemotherapy. Multiple caries were observed from clinical and radiographic examination. The dental procedure was successfully performed under general anesthesia.
Patients with brain tumor may take routine MRI to detect metastatic tumors and recurrent lesions. Dentists should take into consideration of possible dislodgement of restoration by ferromagnetic properties and artifact formation on MRI image. Ready-made zirconia crowns can be a good restoration option for such patients.
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KEYWORD
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Atypical teratoid rhabdoidal tumor, Ferromagnetic effect, Artifact, MRI, Dental treatment, General anesthesia
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