Kruizinga E H W, Meijer G J, Koole R, van Es R J J
Uit de afdeling Mondziekten en Kaak- en Aangezichtschirurgie en Bijzondere Tandheelkunde van het Universitair Medisch Centrum Utrecht.
Ned Tijdschr Tandheelkd. 2007 Jul;114(7):300-3.
A 15-year-old autistic boy of subnormal intelligence appeared at the office of his dental practitioner complaining about pain in the third quadrant. Investigation revealed that the second molar could be intruded easily. No other irregularities, such as caries or periodontal disease were apparent. Due to the severe pain it was decided that the tooth should be extracted. Extraction of the tooth induced massive bleeding. Hemostasis was achieved by repositioning the molar in its alveolus, according to the principle of putting a cork in a bottle. Radiographic investigation showed the presence of an intraosseous arteriovenous malformation. These malformations are potentially life-threatening lesions. Treatment of choice is a combination of transarterial embolization and surgical removal of the malformation.
一名智力低于正常水平的15岁自闭症男孩前往牙医诊所，抱怨第三象限疼痛。检查发现第二磨牙很容易被压入。没有其他异常情况，如龋齿或牙周病。由于疼痛剧烈，决定拔除该牙。拔牙引发了大量出血。根据将软木塞放入瓶中的原理，将磨牙重新植入牙槽窝实现了止血。影像学检查显示存在骨内动静脉畸形。这些畸形是潜在的危及生命的病变。首选的治疗方法是经动脉栓塞和手术切除畸形的联合治疗。
