Authors: Karp, Jeffrey M.; Ganoza, Gabriela G.

Source: Pediatric Dentistry, Volume 28, Number 6, November/December 2006 , pp. 547-552(6)

Publisher: American Academy of Pediatric Dentistry

Abstract:

Dental trauma secondary to a syncopal episode occurs rarely in the pediatric population. Although the majority of these events occurs in patients with a benign medical history, a subset of these cases occur in patients with a genetic predisposition to cardiac arrhythmia. Long QT syndrome, characterized by prolonged cardiac ventricular repolarization, represents one genetic condition in which patients sustain events of seizure, syncope, and sudden cardiac death in response to precipitating physical, mental, or emotional stressors. In this case report, extensive dental injuries occurred after an episode of cardiac syncope in a patient with a dual presentation of long QT syndrome and Pierre Robin sequence. The purpose of this paper was to highlight the potentially malignant course of symptomatic long QT syndrome and emphasize the importance of warning sign recognition and multidisciplinary medical management of pediatric patients with this condition.

Keywords: SYNCOPE; DENTAL TRAUMA; LONG QT SYNDROME; PIERRE ROBIN SEQUENCE; IMPLANTED CARDIOVERTER DEFIBRILLATOR

Document Type: Case report

Publication date: 2006-11-01

More about this publication?

• Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.
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