[脊髓性肌肉萎缩症患者的挑战性牙科治疗]。

T Kurpez, H S Brand
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引用次数: 0

摘要

一名 23 岁的 1 型脊髓性肌肉萎缩症患者从轮椅上摔下,最初由急诊牙医诊治。为了稳定病情,患者随后被转诊到一家特殊牙科护理中心。过去,该患者很少接受治疗。颌骨缺陷和非常有限的口腔张开度影响了牙科治疗。此外,由于肌肉疾病,患者还有呼吸困难,需要使用呼吸设备。本病例说明了多学科团队在脊髓性肌肉萎缩症患者治疗中的重要性,以及进行微创牙科治疗的选择,其中无痛牙科治疗是首要任务。
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[A challenging dental treatment of a patient with spinal muscular atrophy].

After a fall from his wheelchair, a 23-year-old wheelchair-dependent patient with spinal muscular atrophy type 1 was initially seen by an emergency dentist, who repositioned and splinted the luxated teeth number 31 and 32. For stabilization, the patient was subsequently referred to a centre for special dental care. In the past, few treatments had been carried out on the patient. A jaw defect and very limited mouth opening compromised dental treatment. In addition, due to the muscle disease, the patient had respiratory and breathing problems, for which he used respiratory equipment. This case describes the importance of a multidisciplinary team in the treatment of patients with spinal muscular atrophy, and the options for performing minimally invasive dental treatment, where the priority is a painless dentition.

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