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Dental Management of a Patient With Catecholaminergic Polymorphic Ventricular Tachycardia: A Case Report

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Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a type of cardiac arrhythmia that occurs in people with a structurally normal heart. Stress or anxiety-induced release of endogenous catecholamines causes a dysfunction in the myocytic calcium-ion channel, leading to ventricular arrhythmias that can cause dizziness, syncope, or sudden cardiac death. Since dental procedures can be anxiety-provoking, the main purpose of this paper is to report the dental management of a young patient with dental fear and CPVT. Several other issues are also discussed, such as the importance of continual collaboration with medical colleagues, the risk-benefit of using epinephrine-containing local anesthesia for dental treatment for patients with arrythmias, the potential risk of repeated general anesthesia in a patient with a cardiac arrhythmia, and the challenges of providing comprehensive dental treatment in a high caries-risk patient with extreme dental anxiety. (J Dent Child 2013;80(2):101-4)
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Keywords: BEHAVIOR MANAGEMENT; CHILDREN WITH SPECIAL HEALTH CARE NEEDS; GENERAL ANESTHESIA; HOSPITAL DENTISTRY; PSYCHOLOGY

Document Type: Case Report

Affiliations: 1: Department of Pediatric Dentistry, College of Dentistry, University of Florida, Gainesville, Fla, USA. [email protected] 2: private practice in St. Augustine, Fla, USA

Publication date: May 1, 2013

More about this publication?
  • 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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