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Deep Sedation Technique for Dental Rehabilitation of a Patient with Klippel-Feil Syndrome

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Klippel-Feil syndrome (KFS) is a congenital anomaly characterized by a defect in the formation or segmentation of the cervical vertebrae, resulting in their fusion. The clinical triad of the syndrome consists of short neck, low posterior hairline, and limited neck movement, although fewer than 50 percent of patients demonstrate all three clinical features. The short neck and its immobility and instability present a significant challenge for endotracheal intubation. The purpose of this paper is to describe the management of a 13-year-old patient with KFS, extensive dental caries, and restricted mouth opening using a deep sedation technique in the operating room, which allowed successful completion of dental treatment.
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Keywords: DEEP CONSCIOUS SEDATION; DENTAL MANAGEMENT; KLIPPEL-FEIL SYNDROME

Document Type: Case Report

Affiliations: 1: Pediatric dental resident, in the Department of Pediatric Dentistry, University of Florida College of Dentistry, Gainesville, Fla., USA;, Email: [email protected] 2: Professor and Executive Vice-Chair, Chief, Division of Neuroanesthesia Department of Anesthesiology Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pa., USA 3: Clinical associate professor and program director, in the Department of Pediatric Dentistry, University of Florida College of Dentistry, Gainesville, Fla., USA

Publication date: 2017-01-01

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  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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