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Órgano Oficial de la Asociación Dental Mexicana

2009, Number 6

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Rev ADM 2009; 66 (6)

Importancia de las enfermedades hematológicas en estomatología pediátrica Parte III de III Alteraciones Estomatológicas secundarias a trastornos plaquetarios

Islas GMR, DTeja AE, Bravo LA

Language: Spanish
References: 27
Page: 42-47
PDF size: 230.08 Kb.


ABSTRACT

Hemostasis is a dynamic process by which coagulation occurs in tissues that have undergone vascular lesions. This process involved the interaction modulated by the platelets, and vascular wall, procoagulant plasma proteins and clotting. Platelet alterations may be quantitative (number) may be increased or decreased or qualitative alterations in the structure or in the storage granules of producing alterations in adhesion, aggregation or activation giving demonstrations as gingivorragias, petechiae in the skin and mucous membranes, epistaxis , ecchymosis, and hematomas that require our attention and it is necessary to identify and assist in diagnosis.
Objective: emphasize oral manifestations and stomatological management of platelet disorders (thrombocytopenia, thrombocythaemia).
Conclusions: the common denominator of the alterations trombopoyeticas is a hemorrhagic tendency that can be expressed by a gingivorragia, prolonged bleeding or to perform an extraction, or exfoliate a deciduous tooth, so that prevention, early diagnosis and appropriate treatment is essential to reduce complications that cause danger the patient’s life.


REFERENCES

  1. Behrman RE, Kliegman RM. Nelson Compendio de Pediatría. 4ta ed. Madrid: Interamericana; 2002.

  2. Martínez-Murillo C, Quintana GS. Manual de hemostasia y trombosis, “Bases fisiopatológicas y clínicas de las enfermedades hemorrágicas y trombóticas”. México: Prado; 2001.

  3. Huijgens PC. (Hematology and dentistry. Part II. Abnormalities of the vessel wall and blood platelets). Ned Tijdschr Tandheelkd. 1996;103(2):42-4.

  4. McKenzie SB. Hematología clinica. México: El Manual Moderno; 1991.

  5. Colman WR,Rao KA. Hematology/oncology Clinics of North America (Platelets in health and disease). 1990; 4 (1): 1-10.

  6. Henrry JB. Diagnóstico y tratamiento clínicos por el laboratorio. 9na ed. Barcelona: Masson; 1998.

  7. Castellanos J L. Medicina en odontología, Manejo dental de pacientes con enfermedades sistémicas 2da ed. México: El Manual Moderno; 2004.

  8. Sánchez MI, et al. Leucopenia, trombopenia, pancitopenia. En: Manual de protocolos y actuación en urgencias. Complejo hospitalario de Toledo. Disponible en : http ://www.cht.es/mir2006/MANUAL/Capitulo%20085.pdf.

  9. Henderson JM, et al. Management of the oral and maxillofacial surger y patient with thrombocy topenia . J O ral Maxillfac Surg . 2001;59(4):421-7.

  10. Finucane D, et al. Dentoalveolar trauma in a patient with chronic idiopathic thrombocytopenic purpura: a case report. Pediatr Dent. 2004;26(4):352-4.

  11. Hegde RJ, et al. Acute Idiopathic thrombocytopenic purpura in childhood: a case report. J Indian Soc Pedod Prev Dent. 2003;21(1):42-4.

  12. Martini MZ, et al. Idiopathic Thrombocytopenic Purpura Presenting as Post-extraction Hemorrhage. J Contemp Dent Pract. 2007 ;8(6) :43-49.

  13. Vaisman B, et al. Dental treatment for children with chronic idiopathic thrombocitopaenic purpura: a report of two cases. Int J Paediatr Dent. 2004;14(5):355-62.

  14. Piot B, et al. Management of dental extractions in patients with bleeding disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93(3):247-50.

  15. Gernsheimer T. Chronic Idiopathic thrombocytopenic purpura: mechanisms of pathogenesis. Oncologist 2009;14(1):12-21.

  16. Chamate, et al. Treatment of Idiopathic thrombocytopenic purpura. Med Priv. 1988;4(3):59-60.

  17. Madero L, y col. Púrpura Trombocitopénica Idiopática: controversias. BSCP Can Ped 2001; 25(2):291-302.

  18. Jasmin JR, Dupont D, Velin P. Multiple dental extractions in a child with Glanzmann´s thrombasthenia: report of case. ASDC J Dent Child. 1987;54(3):208-10.

  19. Rakocz M, Lavie G, Martinowitz U. Glanzmann´s thrombasthenia: The use of autologous fibrin glue in tooth extractions. ASDC J Dent Child. 1995;62(2):129-31.

  20. Hartman MJ. Perioperative management of a patient with Bernard-Soulier syndrome for third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(5): 626-9.

  21. Bowers MJ, et al. Molecular genetics and transfusion management in a child with Bernard Soulier syndrome. Blood Cougul Fibrinolysis. 2006;17(5):409-11.

  22. Lanza F. Bernard-Soulier syndrome (Hemorrhagiparous thrombocytic dystrophy). Orphanet J Rare Dis. 2006;1:46.

  23. Little JW, et al. Tratamiento Odontológico del Paciente Bajo Tratamiento Médico. 5ta ed. Madrid: Harcourt-Brace; 1998.

  24. Progel MA. Thrombocythemia as a cause of oral hemorrhage. Oral Surg Oral Med Oral Pathol. 1977;44(4):535-538.).

  25. Michiels JJ, et al. Pathophysiology and treatment of plateletsmediated microvascular disturbances, major thrombosis and bleeding complications in essential thrombocythaemia and polycythaemia vera. Platelets 2004;15(2):67-84.

  26. Chiarini L, et al. [Management of patients with coagulation disorder in oral and maxillofacial surgery. I. Management of patients with hypocoagulation caused by primary thrombocytopathy]. Minerva Stomatol 1997;46(1-2):61-71.

  27. Aydogan T, et al. Incidence and etiology of thrombocytosis in an adult Turkish population. Platelets 2006;17(5):328-31.




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