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