Management of acute toothache in patient with Brugada syndrome

Brugada syndrome is a ventricular arrhythmic disease causing sudden cardiac death in patients with structurally healthy heart. Common dental therapies may be risky in such patients as a simple local anesthesia may cause a fatal arrhythmia. We present a case report of a patient who had been referred to our unit with a diagnosis of acute pulpitis of 3.7 in Brugada syndrome and was assessed for cardiologic and anesthesiologic risk. He had been treated by conscious sedation and discharged after few hours. The aim of this report was to give to dental practitioners an update on this theme and to describe multidisciplinary approach adopted in Complex Operative Unit of Odontostomatology of University of Bari Aldo Moro. We described a case highlighting the importance of teamwork composed by three different specialists and the importance of promoting oral health in patients with Brugada syndrome to reduce the overall risk.