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KMID : 1144020130090020098
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Journal of Korean Association for Disability and Oral Health
2013 Volume.9 No. 2 p.98 ~ p.102
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INTERDISPLINARY CARE OF A PATIENT WITH APLASTIC ANEMIA : REPORT A CASE
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Lee Young-Eun
Park Jae-Hong
Kim Kwang-Chul
Lee Soo-Eon
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Abstract
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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.
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KEYWORD
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Aplastic anemia, Dental management, Platelet transfusion
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