DENTAL MANAGEMENT OF ORAL LESIONS TO CARDIAC PATIENTS IN THE INTENSIVE CARE UNIT

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology Vol. 130; no. 3; p. e198
• Main Authors: NASCIMENTO, YASMIN ALVES DO, SILVA, JOSÉ AUGUSTO SANTOS DA, ALFANO, FLAVIANI ALVES SANTANA, MENESES, ISMÁRIO SILVA DE, MELO, HELGA LUCY FEITOSA SANTOS, CARDOSO, MÔNICA CHRISTINE ALVES CABRAL, SABEY, MARK JON SANTANA
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-09-2020
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2020.04.419

The present case will discuss the clinical case of the 66-year-old male leucoderm patient L.F.S., a former smoker who was hospitalized for unstable angina in the intensive care unit (ICU). The patient was admitted to the cardiac ICU with a clinical condition of dyspnea at rest and was hemodynamically unstable. Bad dental condition, generalized swelling of the tongue and lips, papulous macule exanthema around the mouth, and erosive lesions on the back of the tongue with pruritus symptoms led to the use of chlorhexidine 0.12%. The dental management was performed through discussion with medical staff and included incisional biopsy of tongue and lips at the same moment of cardiac surgery. Anatomopathologic results revealed moderate chronic glossitis and intense subacute cheilitis. Late dental treatment consisted of low-power laser therapy in the respective surgical wounds and subsequent outpatient follow-up.