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Dental Management Considerations in a Pediatric Patient with Moyamoya Disease

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Moyamoya disease is a rare progressive cerebral arteriopathy associated with risk of ischemic and hemorrhagic brain complications. The dental care of affected individuals should be performed in a pain- and stress-free manner to decrease the chance of occurrence of episodes of hypocapnia, hypercapnia, hypotension, hypovolemia, and hypothermia. Dental treatment may be provided in an outpatient dental setting or in a hospital setting, but both venues require interdisciplinary collaboration to ensure safe delivery of patient care. In cases of general anesthesia, the perioperative management must be well-coordinated between dental clinicians and anesthesiologists to minimize the risk of adverse events. The purposes of this paper are to present the case of an eight-year-old Asian male with Moyamoya disease, and to discuss important aspects of his dental, behavioral, and medical management.
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Keywords: CEREBROVASCULAR; GENERAL ANESTHESIA; INTRACANAL HEMORRHAGE; ISCHEMIA; MOYAMOYA DISEASE; PEDIATRIC DENTISTRY; STROKE

Document Type: Case Report

Affiliations: 1: Resident, in the Department of Pediatric Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, Ill., USA;, Email: [email protected] 2: Clinical assistant professor, in the Department of Pediatric Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, Ill., USA

Publication date: 01 May 2017

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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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