Dental Work

Please use this community for general discussions about Duchenne Muscular Dystrophy (DMD).
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Diagnosis: son has Duchenne
Diagnosed: 1976
City: Munhall
State or Province: Pa.

Dental Work

Postby catdiamond » Mon Apr 10, 2017 11:02 pm

Our Son is on noninvasive 24/7. He has Duchenne and is 43 years old. What type of procedure is used for dental work ?

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Re: Dental Work

Postby michaelchiou » Thu Apr 13, 2017 3:51 pm

If he uses mouthpiece ventilation during the daytime, then he would need to switch to nasal ventilation at the same settings.

Will there be air leakage from his mouth?
What we have seen is that nasal ventilation often pushes the soft palate downwards to minimize air leakage from the mouth.

How can I be sure?
Oxygen saturation during the procedure may be measured with an oximeter. If oxygen saturation drops, bagging should be initiated to bring the saturation >94%.

What about anesthesia?
If needed, local anesthetic is preferred because general anesthesia can lead to respiratory depression, especially if the patient is already hypercapnic (hypercapnic: with elevated blood carbon dioxide).
Michael Chiou
Operations Director, VentilaMed BreatheNVS

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