Incorporation of technology in endodontic treatment of a patient with chronic non-progressive encephalopathy: case report
DOI:
10.46551/ruc.v26n1a15Palavras-chave:
Brain Damage, Chronic; Cerebral Palsy; Dental Care for Disabled; Dental Service, Hospital; Endodontics.Resumo
Objective: This work aims to describe the endodontic treatment performed in a single
session in a patient with chronic non-progressive encephalopathy under general anesthesia,
using technological devices. Case Report: A 31-year-old male patient diagnosed with chronic
non-progressive encephalopathy, sought dental treatment due to tooth pain. He presented
ataxia, atrophy of the upper and lower limbs and involuntary spasms. In the intraoral
examination a generalized excessive occlusal wear and temporary restoration on tooth 46 was
seen. Periapical radiograph showed increased periodontal space and periapical bone rarefaction.
The indication was for endodontic treatment of tooth 46 under general anesthesia. After surgical
risk assessment and pre-anesthetic evaluation, endodontic treatment was performed under
general anesthesia, using an apical locator, mechanized instrumentation and digital
radiography. The tooth restauration was performed in the same clinical moment, without
complications. Results: The 8-month follow-up showed absence clinical signs and symptoms
and radiographic control without periapical changes. Conclusion: In this case, the
incorporation of technology in the endodontic treatment of a patient with chronic nonprogressive encephalopathy ensured a safe and effective treatment for the patient and the staff, with case resolution, promotion of oral health and quality of life.
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GUTIERREZ, Gabriela-Mancia.; SIQUEIRA, Vanessa-Lira.; LOYOLA-RODRIGUEZ, Juan-Pablo.; DINIZ, Michele-Baffi.; GUARÉ, Renata-Oliveira.; FERREIRA, Ana-Cristina-Fernandes-Maria.; SANTOS, Maria-Teresa-Botti-Rodrigues. Effects of treatments for drooling on caries risk in children and adolescents with cerebral palsy. Med Oral Patol Oral y Cir Bucal. v.24, n.2, p. 204-210, 2019. doi: 10.4317/medoral.22729.
JAN, Basil M.; JAN, Mohammed M. Dental health of children with cerebral palsy. Neurosciences (Riyadh). v.21, n.4, p.314-318, 2016. doi: 10.17712/nsj.2016.4.20150729.
CHANG, Juhea.; KIM, HY. Prognostic factors of single-visit endodontic and restorative treatment under general anaesthesia for special needs patients. J Oral Rehabil. v.44, n.2, p.96-104, 2017. doi: 10.1111/joor.12458.
CHANG, Juhea.; PATTON, Lauren L.; KIM, Hae-Young. Impact of dental treatment under general anesthesia on the oral health-related quality of life of adolescents and adults with special needs. Eur J Oral Sci. v.122, n.6, p.363-71, 2014. doi: 10.1111/eos.12150.
ANDERS, Patrick L.; DAVIS, Elaine L. Oral health of patients with intellectual disabilities: a systematic review. Spec Care Dentist. v.30, n.3, p.110-7, 2010. doi: 10.1111/j.1754-4505.2010.00136.x.
ALSALEH, Iyad.; COUSSON, Pierre-Yves; NICOLAS, Emmanuel.; HENNEQUIN, Martine. Is endodontic treatment performed under general anaesthesia technically acceptable? Clin Oral Investig. v. 16, n.6, p. 1599-1606, 2012. doi: 10.1007/s00784-011-0663-3.
YAP, EXY.; PARASHOS P, BORROMEO, GL. Root canal treatment and special needs patients. Int Endod J. v. 48, n.4, p.351-61, 2015. doi: 10.1111/iej.12321.
PARASHOS, Peter.; MESSER, Harold H. The diffusion of innovation in dentistry: a review using rotary nickel-titanium technology as an example. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. v.101, n.3, p.395-401, 2006. doi: 10.1016/j.tripleo.2005.02.064.
PINI, Danielle de Moraes.; FRÖHLICH, Paula Cristina Gil Ritter.; RIGO, Lilian. Oral health evaluation in special needs individuals. Einstein (Sao Paulo). v.14, n.4, p.501-507, 2016. doi: 10.1590/S1679-45082016AO3712.
OHTAWA, Yumi.; YOSHIDA, Mizuki.; FUKUDA, Kenichi. Parental Satisfaction with Ambulatory Anesthesia during Dental Treatment for Disabled Individuals and Their Preference for Same in Future. Bull Tokyo Dent Coll. v.60, n.1, p.53-60, 2019. doi: 10.2209/tdcpublication.2018-0011.
SU, Yingying.; WANG, Chenglin.; YE, Ling. Healing rate and post-obturation pain of single- versus multiple-visit endodontic treatment for infected root canals: a systematic review. J Endod. v.37, n.2, p.125-32, 2011. doi: 10.1016/j.joen.2010.09.005.
BALTO, Khaled. Single- or multiple-visit endodontics: which technique results in fewest postoperative problems? Evid Based Dent. v.10, n.1, p.16, 2009. doi: 10.1038/sj.ebd.6400630.
MOREIRA, Maria Stella.; ANUAR, Sadat Neres-Santiago.; TEDESCO, Tamara Kerber.; DOS SANTOS, Marcelo.; MORIMOTO, Susana. Endodontic Treatment in Single and Multiple Visits: An Overview of Systematic Reviews. J Endod. v.43, n.6, p.864-870, 2017. doi: 10.1016/j.joen.2017.01.021.
MESSIEHA, Zakaria. Risks of general anesthesia for the special needs dental patient. Spec Care Dentist. v.29, n.1, p.21-5, 2009. doi: 10.1111/j.1754-4505.2008.00058.x.
BHAT, Vidya.; SHETTY Prakashchandra.; ANANDAKRISHNA, Latha. Comparative Evaluation of Accuracy of New-generation Electronic Apex Locator with Conventional Radiography to determine Working Length in Primary Teeth: An in vivo Study. Int J Clin Pediatr Dent. v.10, n.1, p.34-36, 2017. doi: 10.5005/jp-journals-10005-1403.
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