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RDF description of Dental considerations and recommendations in Eisenmenger syndrome: A report of an unusual paediatric case - http://orbis.uaslp.mx/vivo/individual/scopus5552
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date: 2026-08-24T21:50:54
publisher: vivo
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Article
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Dental considerations and recommendations in Eisenmenger syndrome: A report of an unusual paediatric case
volume: 19
related by: authorship_34501
estado: published
pmid: 30196521
type: Continuant
related by: authorship_34497
doi: 10.1007/s40368-018-0366-4
abstract: Background: Eisenmenger syndrome (ES) is a heart cyanotic condition characterised by elevated pulmonary vascular resistance and an intra-cardiac right-to-left shunting of blood through a systemic-to-pulmonary circulation connection. Affected children usually exhibit severe hypoxia, clubbing of fingers/toes, haemoptysis, anaemia, and organ damage. Case report: During autumn 2015, the patient and her parents arrived at the paediatric dentistry clinic. The patient presented with the main complaint of generalised inflamed gingival tissues, severely protruded upper incisors, and evident abnormal mouth breathing. Treatment: This was performed under local analgesia, rubber-dam isolation, and antimicrobial prophylaxis with amoxicillin (50 mg/kg). The patient’s parents agreed to the treatment plan through a signed informed consent. This treatment consisted of the placement of pit and fissure sealants on the four permanent first molars (which included enamel preparation with fissurotomy burs), in-depth gingiva/dental frequent cleanings, local fluoride varnish applications, and an exhaustive programme of at-home oral hygiene (brushing, flossing, and chlorhexidine mouth rinses), including adequate nutrition. Gingivoplasty surgery to remove residual enlarged tissues was indicated for the near future. Follow-up: The child did not return to the clinic. When contacted, the parents reported that their daughter’s systemic condition worsened significantly. She was confined to a bed at home under palliative care, with a life-span expectation of only a few months. Conclusion: Comprehensive dental care of children with ES requires careful consideration of their medical condition, and dental care delivery should be coordinated with the paediatric cardiologist. General analgesia should be considered only in strictly selected cases, due to the high peri-operative mortality reported. © 2018, European Academy of Paediatric Dentistry.
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has publication venue: European Archives of Paediatric Dentistry
type: Thing
issue: 6
type: Document
crisid: 5553
related by: authorship_34502
related by: authorship_34498
page start: 449
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most specific type: Article
origen: scopus
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e iscopus: 2-s2.0-85057247837
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freetext keyword: Children; Cyanotic congenital heart diseases; Dental management; Eisenmenger syndrome case report; child; complication; dental caries; dental procedure; Eisenmenger complex; female; gingivitis; human; local anesthesia; malocclusion; mouth breathing; procedures; Anesthesia, Local; Child; Dental Care for Children; Dental Caries; Eisenmenger Complex; Female; Gingivitis; Humans; Mouth Breathing; Overbite
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related by: authorship_34499
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date time value: article date 5553
page end: 453

European Archives of Paediatric Dentistry
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publication venue for: Dental considerations and recommendations in Eisenmenger syndrome: A report of an unusual paediatric case
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type: Document
type: Generically Dependent Continuant