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Ehlers-Danlos syndrom og lokalbedövelse ved dento-alveolaer kirurgi
Engelsk titel: Dentoalveolar surgery in local anesthesia in patients with Ehlers-Danlos syndrome Läs online Författare: Jensen, Thomas ; Nygaard Madsen, Lars ; Daugaard-Jensen, Jette Språk: Dan Antal referenser: 19 Dokumenttyp: Artikel UI-nummer: 16053674

Tidskrift

Tandlaegebladet 2016;120(4)330-5 ISSN 0039-9353 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Introduction - Ehlers-Danlos syndrome (EDS) is a group of hereditary disorders affecting the connective tissue. EDS is characterized by skin hyperextensibility, joint hypermobility, and connective tissue fragility. The disorder is caused by a genetic mutation in the formation of connective tissue collagen. The symptomatology and clinical findings varies between the six subgroups of EDS. Oral manifestations occur to varying degrees and may include fragile mucous membranes, periodontitis, underdeveloped enamel, pulp stones, and temporomandibular joint problems. Many patients with EDS have reported that local anaesthetic is often ineffective for dental treatment. Material and methods - 10 patients with EDS underwent dentoalveolar surgery local anaesthesia. After completion of the treatment, the patients assessed the pain intensity during the treatment by means of a visual analogue scale. Where 0 was no pain and 10 was the worst pain you can imagine. Results - All patients rated pain intensity during the surgical treatment, other than the injection of local anaesthetic to 0 on the visual analog scale. One patient reported pain during dislocation of a molar, rated as five on the visual analog scale. Besides anticipated swelling, tenderness, and pain the postoperative recovery was without complications. Conclusion - Oral surgery under local anaesthesia can be performed painlessly in patients with EDS by using sufficient amount of local anaesthesia, use of sedatives before surgery, and divide the treatment sequentially