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Pre-splenectomy permanent tooth extraction in a child with hereditary spherocytosis: a case report and guidelines care

  • Patrick Pereira Garcia1
  • Luenny Maria Moraes Pinheiro1
  • Wellington José Alves Nunes2
  • Rudys Rodolfo de Jesus Tavares1
  • Cyrene Piazera Silva Costa1,2,*,

1Postgraduate Program in Dentistry, Ceuma University, 65075-120 São Luís, MA, Brazil

2Dentistry Sector for Patients with Special Needs, Children’s Hospital Dr. Juvêncio Mattos, 65065-545 São Luís, MA, Brazil

DOI: 10.22514/jocpd.2024.143 Vol.48,Issue 6,November 2024 pp.221-224

Submitted: 23 February 2023 Accepted: 18 April 2023

Published: 03 November 2024

*Corresponding Author(s): Cyrene Piazera Silva Costa E-mail: cyrene.piazerra@ceuma.br

Abstract

Hereditary Spherocytosis (HS) is a type of hemolytic anemia characterized by a defect in the membrane of red blood cells, which causes them to assume a spherical shape, become osmotically fragile, and be prone to early hemolysis. While it is relatively well understood in the medical field, there is limited evidence regarding the dental management of patients with this condition. Therefore, this report aims to present a case involving the extraction of permanent teeth before splenectomy in a child with HS who had been hospitalized. Additionally, treatment guidelines for these patients are proposed and developed. The patient was scheduled to undergo a total splenectomy due to splenomegaly resulting from severe hemolytic anemia. Prior to the surgery, the child was referred to the hospital’s dental clinic with a chief complaint of dental pain. An intraoral examination revealed carious lesions with pulpal involvement in the first molars, and extraction was recommended to minimize the risk of post-splenectomy infection. Hematological support was provided during dental treatment since partial control of the anemia was necessary for the extraction procedure. Developing dental treatment guidelines for patients with HS is essential to ensure their safety.


Keywords

Hemolytic anemia; Hereditary spherocytosis; Dental care for children


Cite and Share

Patrick Pereira Garcia,Luenny Maria Moraes Pinheiro,Wellington José Alves Nunes,Rudys Rodolfo de Jesus Tavares,Cyrene Piazera Silva Costa. Pre-splenectomy permanent tooth extraction in a child with hereditary spherocytosis: a case report and guidelines care. Journal of Clinical Pediatric Dentistry. 2024. 48(6);221-224.

References

[1] Kar R, Rao S, Srinivas UM, Mishra P, Pati HP. Clínico-hematological profile of hereditary spherocytosis: experience from a tertiary care center in North India. Hematology. 2009; 14: 164–167.

[2] Rets A, Clayton AL, Christensen RD, Agarwal AM. Molecular diagnostic update in hereditary hemolytic anemia and neonatal hyperbilirubinemia. International Journal of Laboratory Hematology. 2019; 41: 95–101.

[3] Wu Y, Liao L, Lin F. The diagnostic protocol for hereditary spherocytosis—2021 update. Journal of Clinical Laboratory Analysis. 2021; 35: e24034.

[4] Tole S, Dhir P, Pugi J, Drury LJ, Butchart S, Fantauzzi M, et al. Genotype-phenotype correlation in children with hereditary spherocytosis. British Journal of Haematology. 2020; 191: 486–496.

[5] Perrotta S, Gallagher PG, Mohandas N. Hereditary spherocytosis. The Lancet. 2008; 372: 1411–1426.

[6] Muhammad KS, Narazah MY, Gurjeet K, Farhat AK. Hereditary spherocytosis in a Malay patient with chronic haemolysis. The Malaysian Journal of Medical Sciences. 2007; 14: 54.

[7] Stanley AC, Christian JM. Sickle cell disease and perioperative considerations: review nd retrospective report. Journal of Oral and Maxillofacial Surgery. 2013; 71: 1027–1033.

[8] Sutil‐Vega M, Rizzo M, Martínez‐Rubio A. Anemia and iron deficiency in heart failure: a review of echocardiographic features. Echocardiography. 2019; 36: 585–594.

[9] Anand IS, Gupta P. Anemia and iron deficiency in heart failure. Circulation. 2018; 138: 80–98.

[10] Rueda-Ventura MA, Isidro-Olán LB, Zurita-Zarracino E. Oral manifestations in patients with hereditary hemolytic anemias. Revista de Hematología. 2021; 22: 69–79.

[11] Cohen E, Kuo DZ, Agrawal R, Berry JG, Bhagat SKM, Simon TD, et al. Children with medical complexity: an emerging population for clinical and research initiatives. Pediatrics. 2011; 127: 529–538.

[12] Rosa LJ, Magalhães MHCG. Aspectos gerais e bucais da anemia falciforme e suas implicações no atendimento odontológico. Revista da Associação Paulista de Cirurgiões-dentistas. 2002; 56: 377–381.

[13] Holt RD, Chidiac RH, Rule DC. Dental treatment for children under general anaesthesia in day care facilities at a London dental hospital. British Dental Journal. 1991; 170: 262–266.

[14] Wang Y, Lin I, Huang C, Fan S. Dental anesthesia for patients with special needs. Acta Anaesthesiologica Taiwanica. 2012; 50: 122–125.

[15] Thornhill MH, Gibson TB, Yoon F, Dayer MJ, Prendergast BD, Lockhart PB, et al. Antibiotic prophylaxis against infective endocarditis before invasive dental procedures. Journal of the American College of Cardiology. 2022; 80: 1029–1041.

[16] Okabayashi T, Hanazaki K. Overwhelming postsplenectomy infection syndrome in adults—a clinically preventable disease. World Journal of Gastroenterology. 2008; 14: 176.

[17] Pasternack MS, Weller PF, Thorner AR. Prevention of sepsis in the asplenic patient. UpToDate. 2017. Available at: https://www.uptodate.com/contents/prevention-of-sepsis-in-the-asplenic-patient (Accessed: 19 September 2021)

[18] Casamassimo PS, Fields H, McTigue DJ, Nowak AJ. Pediatric dentistry: infancy through adolescence. 5th edn. Elsevier: India. 2012.


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