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:: Volume 8, Issue 8 (1-2012) ::
3 2012, 8(8): 0-0 Back to browse issues page
Surgical orodental implications in ankylosing spondylitis
Mohammad Mehdizadeh , Arash Poorsattar Bejeh Mir *
Dentistry School, Babol University of Medical Sciences, Babol, Iran
Abstract:   (1839 Views)

 Temporomandibular joint and the pelvic complex are bidirectionally related. Ankylosing spondylitis (AS) is a seronegative arthropathy with the key feature of bony fusion of lumbar vertebrae. A 39 year old known case of AS was presented to private office for left lower impacted third molar surgical removal. Previously, he was rejected to receive oral care for pulpectomy and extraction due to limited mouth opening. Prior to the surgery, lateral neck radiography was obtained to exclude any subluxation of fracture of cervical vertebrae. Neck was supported to insure neck stability during surgical forces. In addition, considering consumption of immunosuppressive medications including corticosteroids, procedure was performed with a great care, with attention to higher possibility of infection and fracture. Access to the surgical site was not desirable, though surgery accomplished without any significant event and the patient discharged with routine analgesic and antibiotics recommendation. Sometimes, impaired access to the oral cavity in patients with AS leads to receive suboptimal or minimal orodental care. Long list of dental implications in these patients may be simplified by considering of careful neck and jaw support, applying at least possible forces and great attention to the infection control rules. It is wised to be performed under patient and skilled hands.


 Source: Dental Research Journal

 Full Text

Keywords: Ankylosing spondylitis, immunosuppressant, oral surgery, temporomandibular joint
     
Type of Study: case report | Subject: Oral and Maxillofacial Surgery
Received: 2013/06/20 | Published: 2012/01/15
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Mehdizadeh M, Poorsattar Bejeh Mir A. Surgical orodental implications in ankylosing spondylitis. 3 2012; 8 (8)
URL: http://idai.ir/article-1-1135-en.html


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Volume 8, Issue 8 (1-2012) Back to browse issues page
جامعه اسلامی دندانپزشکان Islamic Dental Association of IRAN

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