Scleroderma. Complications encountered during dental anaesthesia.

Area of Science:

• Anesthesiology
• Rheumatology
• Oral Surgery

Background:

• Scleroderma is an autoimmune disease characterized by ত্বক thickening and fibrosis.
• Dental extractions may necessitate general anesthesia in patients with complex medical conditions.
• Methohexitone is an ultra-short-acting intravenous anesthetic agent.

Observation:

• A young woman diagnosed with scleroderma underwent a dental extraction procedure.
• General anesthesia was deemed appropriate for the dental extraction.
• Intravenous methohexitone administration preceded the surgical procedure.

Findings:

• The patient developed cyanosis and pain in her hand post-methohexitone injection.
• An oral laceration occurred during the molar tooth extraction.
• These events highlight potential complications in patients with scleroderma undergoing anesthesia.

Implications:

• Anesthesiologists and oral surgeons should be aware of potential vascular and soft tissue complications in scleroderma patients.
• Careful patient selection and monitoring are crucial when administering anesthesia to individuals with autoimmune connective tissue diseases.
• Further research may be warranted to explore anesthetic protocols and management strategies for scleroderma patients requiring dental procedures.