Professional paper
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
; Department of Periodontology, School of Dental Medicine, Zagreb, Croatia
Darko Božić
; Department of Periodontology, School of Dental Medicine, Zagreb, Croatia
Domagoj Žabarović
; Department of Mobile Prosthodontics, School of Dental Medicine, Zagreb, Croatia
Damir Jelušić
; Dental Polyclinic “Dr Jelušić”, Opatija, Croatia
Darije Plančak
; Department of Periodontology, School of Dental Medicine, Zagreb, Croatia
Abstract
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.
Keywords
Anemia, Aplastic; Pancytopenia; Cyclosporine; Antifibrinolytic Agents; Gingival hyperplasia; Periodontitis
Hrčak ID:
139978
URI
Publication date:
18.6.2015.
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