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Prof. Dr. Robertha Tulio

Prof. Dr. Robertha Tulio

CRORJ's Technical Chamber of Anesthesia and Sedation in Dentistry

Dr. Robertha Tulio is a master in Pediatric Dentistry from The São Leopoldo Mandic College – Campinas. She is a President of the Technical Committee of Sedation in Dentistry of CRORJ and Scientific Director of the Brazilian Association of Analgesia and Conscious Sedation in Dentistry – ABASCO. Dr. Robertha Tulio is a Legal Director of the Brazilian Society of Anesthesia and Sedation in Dentistry – SOBRASO. She has Qualified in Laser therapy by hospital Israelita Albert Einstein. She is a Author of the Book Doctor Joy in My Special Tooth. She has Trained in Drug Sedation in Dentistry and professor of sedation in dentistry and special patients in Brazil and Peru.

Brazil

Abstracts

2025

Knowledge saves lives: The use of nitrous oxide in a pediatric dental patient with congenital hyperflow heart disease - Edwards Syndrome

Nitrous oxide (N2O) has some advantages, such as anxiolysis, mild analgesia, and amnesia. In addition, it has the ability to regulate the patient's pain threshold, resulting in rapid analgesia. Being a titratable and safe drug, the mixture of nitrous oxide and oxygen is safe and indicated for the treatment of heart patients.

Edwards syndrome, known as trisomy 18, is a congenital chromosomal disorder characterized by the presence of an extra chromosome 18. One of the most common characteristics of this disorder is heart disease, among others.

Patients with this syndrome are at greater risk of complications in the case of general anesthesia, as extubation must be spontaneous and slow for the patient, which in many cases requires ICU care until the condition stabilizes. Therefore, we opted for a safe approach with behavioral control of the patient, monitoring of vital signs, and outpatient inhalation sedation for complete surgical treatment, with safety and control of the field.