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How to maintain the oral health of a child with Wolff-Parkinson-White syndrome: a case report.

Petroniatis T, Ortu E, Marchili N, Giannoni M, Marzo G, Monaco A - J Med Case Rep (2014)

Bottom Line: It is caused by the presence of an abnormal accessory electrical conduction pathway between the atria and the ventricles.In the present report, we describe the correct oral health management of a 12-year-old Caucasian girl with Wolff-Parkinson-White syndrome.We successfully undertook the dental care of a girl with Wolff-Parkinson-White syndrome, which we describe here.

View Article: PubMed Central - HTML - PubMed

Affiliation: Unit of Dentistry, Department of Life, Health and Environmental Sciences; Division of Gnathology; Dental Clinic, University of L'Aquila, Via Vetoio, 67100 L'Aquila, Italy. eleortu@gmail.com.

ABSTRACT

Introduction: Wolff-Parkinson-White syndrome is one of the most important disorders of the heart conduction system. It is caused by the presence of an abnormal accessory electrical conduction pathway between the atria and the ventricles.

Case presentation: In the present report, we describe the correct oral health management of a 12-year-old Caucasian girl with Wolff-Parkinson-White syndrome.

Conclusions: We successfully undertook the dental care of a girl with Wolff-Parkinson-White syndrome, which we describe here.

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Related in: MedlinePlus

Electrocardiogram of the patient with Wolff-Parkinson-White syndrome.
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Figure 4: Electrocardiogram of the patient with Wolff-Parkinson-White syndrome.

Mentions: A 12-year-old Caucasian girl was presented to our dental clinic for a dental visit. An extraoral examination did not reveal facial asymmetry. Intraoral examination showed that her dental development was age-appropriate (Figures 1, 2 and 3). During the anamnestic interview, the parents of our patient referred to a light unintentional activity of rubbing of the teeth by the child during the night. Our patient was also under the care of a cardiologist for the presence of WPWS with frequent episodes of supraventricular tachycardia. The ECG (Figures 4, 5 and 6) performed one month before the dental visit showed the sinoatrial rhythm with alternate conduction medium atrioventricular node and the accessory conduction pathway. For this disease, our patient was treated with flecainide acetate (30mg three times a day) and propanolol 40mg once a day. Polysomnography was also performed on the child to evaluate the presence of pediatric obstructive sleep apnea (OSA) but the result was normal. Our patient was taken under the care of dentists and hygienists to achieve good oral health. In collaboration with the cardiologist, a treatment plan was created that included:


How to maintain the oral health of a child with Wolff-Parkinson-White syndrome: a case report.

Petroniatis T, Ortu E, Marchili N, Giannoni M, Marzo G, Monaco A - J Med Case Rep (2014)

Electrocardiogram of the patient with Wolff-Parkinson-White syndrome.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4196455&req=5

Figure 4: Electrocardiogram of the patient with Wolff-Parkinson-White syndrome.
Mentions: A 12-year-old Caucasian girl was presented to our dental clinic for a dental visit. An extraoral examination did not reveal facial asymmetry. Intraoral examination showed that her dental development was age-appropriate (Figures 1, 2 and 3). During the anamnestic interview, the parents of our patient referred to a light unintentional activity of rubbing of the teeth by the child during the night. Our patient was also under the care of a cardiologist for the presence of WPWS with frequent episodes of supraventricular tachycardia. The ECG (Figures 4, 5 and 6) performed one month before the dental visit showed the sinoatrial rhythm with alternate conduction medium atrioventricular node and the accessory conduction pathway. For this disease, our patient was treated with flecainide acetate (30mg three times a day) and propanolol 40mg once a day. Polysomnography was also performed on the child to evaluate the presence of pediatric obstructive sleep apnea (OSA) but the result was normal. Our patient was taken under the care of dentists and hygienists to achieve good oral health. In collaboration with the cardiologist, a treatment plan was created that included:

Bottom Line: It is caused by the presence of an abnormal accessory electrical conduction pathway between the atria and the ventricles.In the present report, we describe the correct oral health management of a 12-year-old Caucasian girl with Wolff-Parkinson-White syndrome.We successfully undertook the dental care of a girl with Wolff-Parkinson-White syndrome, which we describe here.

View Article: PubMed Central - HTML - PubMed

Affiliation: Unit of Dentistry, Department of Life, Health and Environmental Sciences; Division of Gnathology; Dental Clinic, University of L'Aquila, Via Vetoio, 67100 L'Aquila, Italy. eleortu@gmail.com.

ABSTRACT

Introduction: Wolff-Parkinson-White syndrome is one of the most important disorders of the heart conduction system. It is caused by the presence of an abnormal accessory electrical conduction pathway between the atria and the ventricles.

Case presentation: In the present report, we describe the correct oral health management of a 12-year-old Caucasian girl with Wolff-Parkinson-White syndrome.

Conclusions: We successfully undertook the dental care of a girl with Wolff-Parkinson-White syndrome, which we describe here.

Show MeSH
Related in: MedlinePlus