Stručni rad
https://doi.org/10.15644/asc49/2/9
Severe Generalized Periodontitis in a Patient with an Aplastic Anemia: a 5 Year Follow-up Case Report
Ivan Puhar
; Zavod za parodontologiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatska
Darko Božić
; Zavod za parodontologiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatsk
Domagoj Žabarović
; Zavod za mobilnu protetiku Stomatološkog fakulteta Sveučilišta u Zagrebu, Hrvatska
Damir Jelušić
; Dentalna poliklinika Dr Jelušić, Opatija, Hrvatska
Darije Plančak
; Zavod za parodontologiju Stomatološkog fakulteta Sveučilišta u Zagrebu, Zagreb, Hrvatsk
Sažetak
Aplastic anemia is a hematological disorder characterized by pancytopenia. This case report presents a young patient with untreated periodontitis associated with hematological disorders, and
cyclosporine therapy. During 2 consecutive days, periodontal therapy which consisted of nonsurgical therapy supplemented with an antibiotic treatment and antifibrinolytic therapy was performed.
Commercial microbiological PCR tests and periodontitis IL-1 polymorphism risk test were performed. Following the periodontal therapy, the inflammation was resolved and the patient’s occlusion was restored by means of removable partial dentures. After the 5 year follow-up, the patient still remained with shallow probing depths although there was inadequate compliance during the maintenance phase. Aplastic anemia increases the risk of onset of severe forms of
periodontitis that can be additionally complicated with cyclosporine therapy. In such patients, periodontal therapy must be supplemented with antibiotics.
Ključne riječi
Anemia, Aplastic; Pancytopenia; Cyclosporine; Antifibrinolytic Agents; Gingival hyperplasia; Periodontitis
Hrčak ID:
139978
URI
Datum izdavanja:
18.6.2015.
Posjeta: 2.074 *