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KMID : 1144020230190010008
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Journal of Korean Association for Disability and Oral Health
2023 Volume.19 No. 1 p.8 ~ p.17
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Dental treatment of a patient with Ventricular Septal Defect under general anesthesia: Case reports
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Kim Sung-Joo
Kim Hyun-Tae
Shin Teo-Jeon
Hyun Hong-Keun
Kim Young-Jae
Kim Jung-Wook
Jang Ki-Taeg
Song Ji-Soo
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Abstract
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Congenital heart disease (CHD) has a high prevalence of about 8 to 10 per 1000 live births and these children have susceptibil ity to infective endocarditis (IE). Ventricular septal defect (VSD) is one of the most common CHDs which is caused by a defect in the septum between the left and right ventricle. Patients with VSD have symptoms such as cyanosis, failure to thrive, and dyspnea in infancy. In patients with CHD such as VSD, insignificantly higher rates of dental caries, periodontitis, and saliva lactobacilli colony count have been reported. Delayed tooth eruption appears to be another oral manifestation besides sto matitis, glossitis, cyanotic mucus membranes, tongue, and gingiva. In this report, we showed the single-visit dental treatment of a 4-year-old boy and a 3-year-old girl with VSD under general anesthesia. The 4-year-old boy had severe proximal caries on most of his primary molars, and smooth surface caries on most of his primary incisors. He was treated with pulp treatment and restoration with stainless steel crowns. The 3-year-old girl also had multiple dental caries on primary molars. In cases of severe caries on primary molars, restorations with pulp treatments and stainless steel crowns were performed. Mild to moder ate proximal caries on primary molars were restored with stainless steel crowns or class II composite resin restorations without pulp treatments. Prophylactic antibiotics were administered intravenously previous to the treatment to prevent IE. Since the most recent guideline from American heart Association about preventing IE emphasizes daily oral hygiene, intensive preventive measures and fluoride application should be periodically administered in patients with VSD.
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KEYWORD
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Ventricular septal defect (VSD), Infective endocarditis (IE), Dental treatment, General anesthesia
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