title: Emergency Dental Treatment of a Patient With Sturge-Weber Syndrome.
abstract: The Sturge-Weber (SWS) syndrome is a rare condition with congenital capillary malformations. Hemorrhages may occur on dental treatment, which can have a dramatic effect on a patient's vital sign. The aim of the present brief clinical study was to briefly report a case of a female patient with SWS who underwent an endodontic treatment. A 25-year-old patient (C.O.B.S.) with SWS and vascular malformation in cervicofacial right region was admitted to the dental clinic with pulsatile pain in tooth 16. An emergency dental treatment with cavity preparation and access to root canals was performed with intraligamentary and intrapulpal anesthesia with 3% prilocain 3% with felypressin 0.03 UI/mL because the tooth was located in the region of the vascular malformation, and any surgical treatment could lead to hemorrhages. After 7 days, the patient was recalled with the absence of painful symptoms. The endodontic treatment in patients with SWS is feasible, and safety should be an alternative to surgical treatments.
authors.affiliation: Center Institution of Hospital Clinics, Faculty of Medicine, University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Maria Cecília Querido
authors.initials: MC
authors.lastname: de Oliveira
authors.forename: Vanessa Nobre
authors.initials: VN
authors.lastname: Maia
authors.forename: Juliana Bertoldi
authors.initials: JB
authors.lastname: Franco
authors.forename: Maria Paula Siqueira
authors.initials: MP
authors.lastname: de Melo Peres
mesh_terms: D000328:Adult; D003759:Dental Implantation, Endosseous, Endodontic / Q000379:methods*; D004638:Emergency Treatment / Q000379:methods*; D005260:Female; D006801:Humans; D013341:Sturge-Weber Syndrome / Q000150:complications*; D014098:Toothache / Q000628:therapy*