모야모야병(Moyamoya disease) 환자의 치과치료시 고려사항 : 증례 보고 = Considerations for dental treatment of patients with Moyamoya disease : Case report

다국어 초록 (Multilingual Abstract)

Moyamoya disease is a chronic, progressive cerebrovascular disorder that leads to an abnormal vascular network at the base of a brain due to the stenosis or occlusion of the internal carotid artery. The purpose of this study is to provide a review of dental treatment considerations for Moyamoya disease patients. According to the article review, dental treatment of patients with Moyamoya disease needs the following considerations. Firstly, the treatment should consider stress reduction therapies. Secondly, bleeding tendency of patients should be taken into consideration. Lastly, medication treatment should be considered. As Moyamoya disease can be a progressive systemic vascular disease, if a bleeding operation is required in the dental treatment then medical consultation by a professional should precede the treatment.

국문 초록 (Abstract)

모야모야병(Moyamoya disease)은 뇌경동맥의 협착이나 폐쇄에 의해서 뇌기저부에 비정상적 혈관망을 갖는 만성 진행성 뇌혈관 질환이다. 본 연구에서는 모야모야병에 대한 문헌 고찰과 함께 모야모야병 환자의 치과 치료 증례를 보고하면서, 모야모야병 환자에 대한 치과치료시 고려해야 사항에 대해 살펴보고자 한다. 모야모야병 환자의 치과 치료시 고려사항으로는 첫 번째로, 스트레스 감소 요법에 대한 고려가 필요하다. 두 번째로 출혈 경향에 대한 고려가 필요하며, 세 번째로 약물 처방에 대한 고려가 필요하다. 이 질환은 진행형인 전신 혈관 질환으로 고려될 수 있으므로, 치과 진료시 출혈을 일으키는 침습적 치료가 예정되어 있을시 반드시 의과 협진이 선행되어야 한다.

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