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General Anesthesia for Dental Treatment in the Congenital Hypothyroidism and Psuedohypoparathyroidism  

Seo, Kwang-Suk (Department of Dental Anesthesiology, School of Dentistry, Seoul National University)
Shin, Teo-Jeon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
Kim, Hyun-Jeong (Department of Dental Anesthesiology, School of Dentistry, Seoul National University)
Chang, Juhea (Clinic for Persons with Disabilities, Seoul National University Dental Hospital)
Publication Information
Journal of The Korean Dental Society of Anesthesiology / v.13, no.3, 2013 , pp. 139-143 More about this Journal
Abstract
The patient who has congenital hypothyroidism and pseudohypoparathyroidism could have mental retardation even though adequate hormone treatment and cannot endure conventional dental treatment. In this case, general anesthesia is selected to administer effective dental treatment. But, there could be symptoms such as anemia, neuropathy, associated pituitary or adrenal hypofunction, cardiac failure even in euthyroid state. And, bradycardia, mental dullness, hypothermia, slow reflexes can appear in case of inadequate thyroid hormone replacement. Especially, macroglosssia, slow drug metabolism, exaggerated responses to anesthetic agents and decreased ventilatory responses could be problem during general anesthesia. The presentation of hypoparathyroidism also varies depending on the chronicity of the result of hypocalcemia. Muscle spasms/tetany, paresthesias, and seizures may occur in an acute onset. Chronic hypocalcaemia causes fatigue, muscle cramps, lethargy, personality changes, and cerebration defects.
Keywords
Congenital Hypothyroidism; Dental Treatment; Disabled Patient; General Anesthesia; Psuedohypoparathyroidism;
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Times Cited By KSCI : 1  (Citation Analysis)
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