Tetralogy of Fallot: an overview, case report, and discussion of dental implications
Autor: | Evan Spivack |
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Rok vydání: | 2001 |
Předmět: |
Male
medicine.medical_specialty Pediatrics Heart disease Anesthesia Dental medicine.medical_treatment Anesthesia General Dental Caries Systemic circulation Preoperative antibiotics medicine Humans Surgical treatment General Dentistry Tetralogy of Fallot Cardiac catheterization Dental Treatment Plan business.industry Surgical procedures medicine.disease Surgery Child Preschool Dental Care for Chronically Ill Tooth Extraction business |
Zdroj: | Special Care in Dentistry. 21:172-175 |
ISSN: | 1754-4505 0275-1879 |
DOI: | 10.1111/j.1754-4505.2001.tb00250.x |
Popis: | Tetralogy of Fallot (TOF) is the most common cause of cyanotic heart disease. The anatomic defects comprising TOF lead to the systemic circulation of oxygen-poor (desaturated) blood, resulting in symptoms of cyanosis, polycythemia, and hypoxia. Untreated, most patients with this disorder die during childhood. Surgical treatment aimed at correcting the defects is currently recommended for infants. Long-term studies have reported good results with this approach. The case history of a four-year-old male with uncorrected tetralogy of Fallot is presented. The patient required extensive dental treatment prior to scheduled cardiac catheterization. The dental findings and plan of care for this patient are detailed, and attention is given to the role of the medical work-up, preoperative antibiotics, and sedatives. It is stressed that the dental treatment plan for patients with tetralogy of Fallot must take into account the patients' medical status both prior to and following corrective surgical procedures. |
Databáze: | OpenAIRE |
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