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KMID : 0980320150150030173
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Journal of Dental Anesthesia and Pain Medicine
2015 Volume.15 No. 3 p.173 ~ p.179
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Full mouth rehabilitation of a patient with Sturge-Weber syndrome using a mixture of general and sedative anesthesia
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Doh Re-Mee
Park Won-Se
Kim Seung-Oh
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Abstract
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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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KEYWORD
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Dental care for the disabled, General anesthesia, Mouth rehabilitation, Sedation, Sturge-Weber syndrome
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