[Myasthenia gravis in dentistry]. / Myasthenia gravis in de tandheelkunde.
Ned Tijdschr Tandheelkd
; 125(7-8): 375-380, 2018 Jul.
Article
em Nl
| MEDLINE
| ID: mdl-30015811
ABSTRACT
In a patient with myasthenia gravis, a life-threatening myasthenic crisis can occur, a complication of myasthenia gravis. The crisis can be triggered by, among other things, emotional stress, pain, infections and a reaction to medication. The policy for invasive dental treatment in a patient with myasthenia gravis must be aimed at preventing a crisis. Prior to the intervention, consultation with the neurologist in charge is necessary because sometimes optimisation of the medication or preventive measures are required. Treatment of a myasthenia gravis patient with amide local analgesic is possible; narcosis is also possible. Local anaesthesia (using amide local analgesic in minimal dosage) is preferred to narcosis. After the dental treatment, optimal pain management is crucial to limit the chance of a crisis.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Odontologia
/
Anestesia Dentária
/
Miastenia Gravis
Limite:
Humans
Idioma:
Nl
Revista:
Ned Tijdschr Tandheelkd
Ano de publicação:
2018
Tipo de documento:
Article