Surgical Treatment in Patients With Wilson’s Disease

Cholakova, Radka; Drangov, Martin; Markova, Kremena; Zidarova, Viktoria; Avramova, Martina

doi:10.5272/jimab.2017231.1447

Cited by 1 publication

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“…In this case, a few doses of articaine hydrochloride and epinephrine were readily preferred for tooth extraction. Cholakova et al (25) recommended amide-type local anaesthetics for selecting local anaesthetics in patients with WD. Local anaesthetics containing the thiophene ring, which are frequently preferred in oral surgical procedures such as articaine, are excreted by the liver and plasma, thereby reducing anaesthetic accumulation toxicity.…”

Section: Discussionmentioning

confidence: 99%

“…Local anaesthetics containing the thiophene ring, which are frequently preferred in oral surgical procedures such as articaine, are excreted by the liver and plasma, thereby reducing anaesthetic accumulation toxicity. The impaired nervous system requires anaesthetic usage with a lower adrenaline concentration (25).…”

Section: Discussionmentioning

confidence: 99%

“…Tooth extraction for a patient's treatment requires systemic consideration due to WD potential risks to patients' liver. Also, it is known that osteoporosis-like bone changes can develop in patients with WD (25). In some WD patients, areas with large demineralisation may occur in the mandible and maxilla.…”

Section: Discussionmentioning

confidence: 99%

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Multiple dens invaginatus in Wilson’s disease: A case report

Memiş

Bas

2021

Aust Endodontic J

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Wilson's disease (WD) is a rare autosomal recessive genetic disease that affects copper metabolism. Anomalies can be seen in the dento-maxillofacial structures of WD patients. Dens invaginatus (DI) is an uncommon tooth anomaly, and its incidence in decidious and permanent molars is even lower. This case report primarily explored the multiple DI of a patient with WD. A 9-year-old boy was admitted to our clinic with complaints of pain and swelling in the right lower molar area. It was learnt that the patient was diagnosed with WD after he was born. Fistula, submandibular lymphadenopathy and diffuse swelling were detected. Using cone-beam computed tomography (CBCT), multiple DIs were observed in bilateral bimaxillary four first molars and deciduous molars. When the patient's systemic condition was considered, extraction was planned under oral antibiotic therapy and was performed. During the 6-month follow-up, uneventful healing was observed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%