Anesthetic Management of the Trigeminocardiac Reflex During Mesiodens RemovalÛA Case Report

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Anesthetic Management of the Trigeminocardiac Reflex During Mesiodens RemovalÛA Case Report
Anesthesia Progress
Volume 54, Issue 1 (Spring 2007)

Michael D. Webb, DDS, John H. Unkel, DDS, MPA
Virginia Commonwealth University School of Dentistry

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.

Keywords: Trigeminocardiac reflex, Bradycardia

Received: January 5, 2006; Accepted: September 12, 2006

DOI: 10.2344/0003-3006(2007)54[7:AMOTTR]2.0.CO;2

Address correspondence to Dr Michael D. Webb, Virginia Commonwealth University School of Dentistry, Department of Pediatric Dentistry, 521 North 11th Street, Richmond, VA 23298; mdwebb@vcu.edu.

© 2007 The American Dental Society of Anesthesiology Tel