336 - Wolff-Parkinson-White Syndrome: Considerations for Chairside Dental Treatment

Abstract: Wolff-Parkinson-White (WPW) syndrome is a condition involving supraventricular tachycardia and pre-excitation of ventricular contraction due to an extra electrical pathway. With the potential to produce impulses in the atrioventricular conduction system causing heart rates greater than 150 BPM, patients are best managed through an interdisciplinary approach to minimize the risk of episodes during dental care.
This presentation involves a 7-year-old male referred to an outpatient pediatric dentistry resident clinic to obtain clearance for an upcoming cardiac ablation procedure. The patient’s medical history was significant for Wolff-Parkinson-White syndrome. The patient was currently taking Nadolol. Clinical exam revealed clinical decay on #D-G. Radiographs confirmed decay was encroaching or currently communicating with pulp. After communication with the patient’s care team, the affected teeth were extracted chairside whilst adhering to treatment considerations set out by the cardiologist. This report will discuss the importance of interdisciplinary care and dental considerations for patients with WPW syndrome.

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