Akademik Veri Yönetim Sistemi
TAOMS 32nd International Scientific Congress, Antalya, Türkiye, 5 - 09 Kasım 2025, (Yayınlanmadı)
Abstract
Objective: To
present perioperative considerations and anesthesia management strategies in
patients with Parkinson’s disease (PD) undergoing dental and maxillofacial
procedures, highlighting the role of local anesthesia, sedation, and general
anesthesia across different disease stages.
Cases:
We
report three PD patients at distinct stages of disease progression.
Case
1: A 45-year-old man with early-stage PD controlled on rasagiline underwent
third molar surgery under local anesthesia with articaine and limited midazolam
sedation without complications.
Case
2: A 60-year-old woman with moderate PD on levodopa and entacapone received
multiple extractions and implant placement under local anesthesia and minimal
sedation with midazolam–propofol infusion, achieving stable hemodynamic
control.
Case
3: A 72-year-old man with advanced PD, motor fluctuations, cognitive decline,
and multiple medications underwent zygomatic implant surgery under general
anesthesia with TIVA and ICU admission, ensuring safe perioperative management.
Conclusion: Dental
procedures in PD patients can be safely performed under local anesthesia,
minimal sedation, or general anesthesia when tailored to disease stage and
comorbidities. Early-stage patients may tolerate limited sedation with
vasoconstrictor-containing anesthetics, while advanced cases often require
general anesthesia with intensive monitoring. Multidisciplinary collaboration
and individualized protocols are essential to optimize perioperative outcomes.
Key
Words: Parkinson’s disease, Dental anesthesia, Local anesthesia, Case report