title: Anesthetic management of the trigeminocardiac reflex during mesiodens removal-a case report.
abstract: We describe a case in which reflection of a palatal flap for removal of a mesiodens is presented as the triggering factor for bradycardia caused by stimulation of the trigeminocardiac reflex. The management of the case, as well as the reflex arc, is discussed.
authors.affiliation: Virginia Commonwealth University School of Dentistry, Department of Pediatric Dentistry, Richmond, VA 23298, USA. mdwebb@vcu.edu
authors.forename: Michael D
authors.initials: MD
authors.lastname: Webb
authors.forename: John H
authors.initials: JH
authors.lastname: Unkel
mesh_terms: D000766:Anesthesia, Dental; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001146:Arrhythmia, Sinus / Q000188:drug therapy* / Q000209:etiology; D001285:Atropine / Q000627:therapeutic use*; D001919:Bradycardia / Q000188:drug therapy* / Q000209:etiology; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000188:drug therapy*; D012021:Reflex, Abnormal / Q000187:drug effects; D014081:Tooth Extraction; D014096:Tooth, Supernumerary / Q000601:surgery*; D014276:Trigeminal Nerve / Q000187:drug effects; D014630:Vagus Nerve / Q000187:drug effects
chemical_list: D000889:Anti-Arrhythmia Agents; D001285:Atropine