Dental management of patients with myasthenia gravis: a literature review.
Myasthenia gravis is a chronic neuromuscular disease characterized by muscular weakness and fatigability. Dental management of patients diagnosed with myasthenia gravis presents a challenge to the dental profession. A MEDLINE search of the English medical (limited to provision in dental care) and dental literature on myasthenia gravis and dental management published between 1975 and 2004 was conducted. In the dental literature, 12 articles were found, and only a few focused on myasthenia gravis and dental care. The purpose of this article was to review and summarize the clinical signs and symptoms associated with myasthenia gravis, highlighting the role of the dental profession in the process of the diagnosis and management of the oral and dental complications that might be associated with the disease, while avoiding myasthenic crisis.
Yarom
Noam
N
Department of Oral Pathology and Oral Medicine, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.
Barnea
Eithan
E
Nissan
Joseph
J
Gorsky
Meir
M
D000779:Anesthetics, Local; D000900:Anti-Bacterial Agents; D000075202:Contraindications; D003680:Deglutition Disorders / Q000209:etiology; D017742:Dental Care for Chronically Ill / Q000009:adverse effects; D004401:Dysarthria / Q000209:etiology; D006801:Humans; D006993:Hypnotics and Sedatives; D008410:Masticatory Muscles / Q000503:physiopathology; D018908:Muscle Weakness / Q000209:etiology; D009157:Myasthenia Gravis / Q000150:complications / Q000503:physiopathology / Q000628:therapy; D011015:Pneumonia, Aspiration / Q000517:prevention & control; D016733:Rubber Dams
D000779:Anesthetics, Local; D000900:Anti-Bacterial Agents; D006993:Hypnotics and Sedatives