Related Experiment Videos
Dental management of the Down and Eisenmenger syndrome patient
Evelyn M Chung1, Eric C Sung, Kari L Sakurai
1Division of Advanced Prosthodontics, Biomaterials and Hospital Dentistry at the University of California-Los Angeles, School of Dentistry in Los Angeles, CA, USA. evchung@ucla.edu
Abstract:
About 40% to 50% of Down syndrome (DS) patients can have significant congenital heart defects such as patent ductus arteriosus, Tetralogy of Fallot, and septal defects. Patients with large septal defects may develop Eisenmenger syndrome (ES), which is defined by the cardiac septal defect and pulmonary hypertension coupled with a reverse right to left shunting of blood flow. DS patients that suffer from this condition require special considerations in the delivery of their dental care to prevent further medical complications or emergencies such as infection, cyanotic episodes, and thromboemboli. Collaboration with the cardiologist is also essential to ensure a complete and comprehensive pre-operative work up. The purpose of this article is to describe the dental management of DS patients with ES under general anesthesia.
Related Concept Videos
Mitral Stenosis IV: Nursing Management
Mitral Stenosis III: Medical Management
Mitral Valve Prolapse II: Assessment and Management
Teeth
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
Acute Coronary Syndrome V: Nursing Management
Peptic Ulcer Disease IV: Management
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...