Browse > Article
http://dx.doi.org/10.12655/KADH.2013.9.2.98

INTERDISPLINARY CARE OF A PATIENT WITH APLASTIC ANEMIA : REPORT A CASE  

Lee, Young Eun (Department of Pediatric Dentistry, KyungHee University Dental Hospital)
Park, Jae-Hong (Department of Pediatric Dentistry, KyungHee University Dental Hospital)
Kim, Kwang Chul (Department of Pediatric Dentistry, KyungHee University Dental Hospital)
Lee, Soo Eon (Department of Pediatric Dentistry, KyungHee University Dental Hospital)
Publication Information
The Journal of Korea Assosiation for Disability and Oral Health / v.9, no.2, 2013 , pp. 98-102 More about this Journal
Abstract
Aplastic anemia (AA) is a blood dyscrasia characterized by hypocelluar bone marrow and peripheral blood pancytopenia. Symptomatology depends on the severity of pancytopenia. Patients with AA are susceptible to infection because of agranulocytosis. Hemorrhage caused by thrombocytopenia can be fetal to these patients. Therefore dental procedure potentially can cause serious complications and should be applied with caution. A 6-year-old boy with moderate aplastic anemia was referred to treat dental caries. General dental procedure including resin filling, preformed crown, pulpectomy and extraction was performed under sedation. Combination of modalities such as platelet transfusion, oral hygiene instruction, and dental prophylaxis was also implemented. In this report, the dental and medical management of a patient with AA was presented. Interdisciplinary care should be administered to patients with AA.
Keywords
Aplastic anemia; Dental management; Platelet transfusion;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Keitt AS: Anemia due to bone marrow failure in: Wyngaarden JB, ed. Cecil Textbook of Medicine, 18th ed. Philadelphia. Saunders 885, 1988.
2 Imbery TA, Camm JH, Anderson LD: Dental management of a patient with aplastic anemia. Gen Dent 40:316-8, 1992.
3 International agranulocytosis and aplastic anemia stydy. Incidence of aplastic amemia: the relevance of diagnostic criteria. Blood 70:1718-21, 1987.
4 Gupta V, Kumar A, Saxena AK et al.: Cytogenetic profile of aplastic anaemia in Indian children. Indian J Med Res 137:502-6, 2013.
5 Valdez IH, Patton LL: Aplastic anemia: current concepts and dental management. Spec Care Dentist 10:185-9, 1990.   DOI   ScienceOn
6 Jones JE, Coates TD, Poland C: Dental management of idiopathic aplastic anemia: report of a case. Pediatr Dent 3:267-70, 1981.
7 Ehrlich P: Uber einen Fall von Anamie mit Bemerkungen uber regenerative Veranderungen des Knochenmarks. Charite Ann 13:300, 1888.
8 Chauffard M: Un cas d'anemie pernicieuse aplastique. Bull Soc Med Hop Paris 21:313, 1904.
9 Andrea Bacigalupo: Aplastic Anemia: Pathogenesis and Treatment, ASH Education Book. vol. 2007. no.1, 23-28, 2007.
10 Segel, George B. and Marshall A: Lichtman. Aplastic anemia: Acquired and inherited. McGrawHill Companies Ed 463-483, 2010.
11 McDonald, Avery, Dean: Dentistry for the child and adolescent. 8th ed. Mosby 557-597, 2004.
12 Franch, A. M. Esteve, C. G. Perez, M. S: Oral manifestations and dental management of patient with leukocyte alterations. J Clin Exp Dent 3:e53-9, 2011.
13 Edwrdsson S: Bacteriology of dentin caries. In: Thylstrup A, Leach SA, Qvist V, eds. Dentine and dentine reactions in the oral cavity Oxford: IRL Press 95-102, 1987.
14 Ekstrand KR, Bjorndal L: Structural analyses of plaque and caries in relation to the morphology of the groove-fossa system on erupting mandibular thrd molars. Caries Res 31:336-48, 1997.   DOI
15 Marchi JJ, de Araujo FB, Nor JE et al.: Indirect pulp capping in the primary dentition: a 4 year follow-up study. J Clin Pediatr Dent 31:68-71, 2006.
16 Bjorndal L: The caries process and its effect on the pulp: the science is changing and so is our understanding. Pediatr Dent 30:192-6, 2008.
17 Al-Zayer MA, Straffon LH, Welch KB et al.: Indirect pulp treatment of primary posterior teeth: a retrospective study. Pediatr Dent 25:29-36, 2003.
18 Gruythuysen RJ, van Strijp AJ, Wu MK: Longterm survival of indirect pulp treatment performed in primary and permanent teeth with clinically diagnosed deep carious lesions. J Endod 36:1490-3, 2010.   DOI   ScienceOn
19 Borowski B, Benhamou E, Pico JL et al.: Prevention of oral mucositis in patients treated with high-dose chemotherapy and bone marrow transplantation: a randomised controlled trial comparing two protocols of dental care. Eur J Cancer B Oral Oncol 30B(2):93-7, 1994.