Comprehensive dental care in pediatric patients with hematological diseases
Keywords:
HEMATOLOGIC DISEASES, SIGNS AND SYMPTOMS, ANTIMICROBIAL, PATIENTSAbstract
Introduction: hematological disorders constitute one of the most interesting problems to be considered by the stomatologist in his daily practice.
Objective: to characterize the comprehensive stomatological care in patients with hematological diseases at the Provincial Pediatric Teaching Hospital "Pepe Portilla" in the period from September 2020 to September 2021.
Methods: An observational, descriptive, cross-sectional study was developed with the purpose of characterizing the comprehensive stomatological care in patients with hematological diseases at the "Pepe Portilla" Pediatric Provincial Teaching Hospital, from September 2020 to September 2021.The universe and the sample consisted of 21 patients, the sample was selected intentionally, according to the inclusion and exclusion criteria. The data were obtained from the clinical history of the patients. Descriptive and inferential statistical methods were used to describe the variables.
Results: patients aged between 7 and 12 years had a greater presence with 52,38 %. There was a greater presence of white patients with 42,86 %, with a greater predominance of the female sex. Conservative treatment was the most needed in 52,34 % of these patients. The use of pharmacological prophylaxis in 47,62 % of the cases, of which 28,57 % were destined to surgical type treatment.
Conclusions: Most of the patients examined presented poor oral hygiene. Pharmacological prophylaxis was the most used method prior to stomatological treatment. Supportive physiotherapy, analgesia and antimicrobial therapy were part of the treatment for all post-surgical complications.
Downloads
References
1. García Peralta T, Fresia Santander VC, Rodríguez Enríquez N. Atención estomatológica integral a pacientes hematológicos. Rev. haban cienc méd [Internet]. 2009 Nov [citado 04/10/2020]; 8(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2009000400014&lng=es
2. Rodríguez Quiñones Y. Comportamiento, recuperación y tiempo de la anemia por incompatibilidad de grupos sanguíneos Rh y ABO, tratados con Eritropoyetina en el Hospital Infantil Dr. Robert Reíd Cabral, periodo Junio 2017-Octubre 2018 [tesis]. Santo Domingo; 2019 [citado 04/10/2020]. Disponible en: https://repositorio.unphu.edu.do/handle/123456789/1355
3. MINSAP, Dirección Nacional de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Cuba. Edición 2019. La Habana; 2020. Disponible en: https://files.sld.cu/bvscuba/files/2020/05/Anuario-Electr%c3%b3nico-Espa%c3%b1ol-2019-ed-2020.pdf
4. Sampaio JAM, Ribeiro R, Nogueira F, Freire B, Moreira L. Leucemia mieloide aguda secundária à trombocitemia essencial na infância. Revista Científica Hospital Santa Izabel [Internet]. 2018 [citado 04/11/2020]; 2(1). Disponible en: https://revistacientifica.hospitalsantaizabel.org.br/index.php/RCHSI/article/view/84
5. Guzmán López A, Vázquez Carbajal L, Góngora Ávila CR, Álvarez Hernández JC, Fernández de Posada. Propuesta de curso optativo sobre Atención Estomatológica Integral en pacientes con trastornos de la coagulación. Cibamanz2021 [Internet]; 2021 [citado 04/10/2021]. Disponible en: https://cibamanz2021.sld.cu/index.php/cibamanz/cibamanz2021/paper/viewFile/386/291
6. Parra OI, Rodríguez OD. Manifestaciones orales de trastornos hematológicos no neoplásicos. Rev. ADM[Internet]. 2020 [citado 04/11/2020]; 77(1): 28-36. Disponible en: https://dx.doi.org/10.35366/OD201F
7. Haider M, Gangat N, Lasho T, Abou Hussein AK, Elala YC, Hanson C, et al. Validation of the revised international prognostic score of thrombosis for essential thrombocythemia (IPSET‐thrombosis) in 585 Mayo clinic patients. Am J Hematol [Internet]. 2016 [citado 04/11/2020]; 91(4): 390-4. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26799697/
8. Medeiros KM, Sá JL, Braz BM, Barbosa TA, Oliveira BM. Púrpura trombocitopénica idiopática. Corpus et Scientia [Internet]. 2015 [citado 03/04/2021]; 11(2): [aprox. 9 p.]. Disponible en: https://apl.unisuam.edu.br/revistas/index.php/corpusetscientia/article/view/886/714
9. Suquilanda Toapanta KE. Púrpura trombocitopénica inmune. Ecuador: Universidad Técnica de Ambato. Facultad de Ciencias de la Salud [Internet];2015 [citado 03/04/2021]: [aprox. 32 p.]. Disponible en: http://repositorio.uta.edu.ec/bitstream/123456789/9429/1/Suquilanda%20Toapanta%2c%20Karina%20Elizabeth.pdf
10. Shimizu R, Ohga N, Miyakoshi M, Asaka T, Sato J, Kitagawa Y. Unusual maxillary osteoblastic and osteolytic lesions presenting as an initial manifestation of childhood acute myeloid leukemia: A case report. Quintessence Int [Internet]. 2017 [citado 04/04/2021]; 48(2): 149-153. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27981267/
11. Tangudu A, Ramakrishna BB, Gupta K, Mrudula M, Vaddeswarapu RM. Oral manifestations associated with neutrophil deficiency and neutrophil disorders: A review. IAIM [Internet]. 2018 [citado 04/04/2021]; 5(6): 61-71. Disponible en: https://www.iaimjournal.com/wp-content/uploads/2018/06/iaim_2018_0506_10.pdf
12. Antonini MF, Lemes LT de O, Mozzini CB. Manifestações Orais da Leucemia no Momento do Diagnóstico. Rev. Bras. Cancerol. [Internet]. 29 Junio 2018 [citado 13/04/2021]; 64(2):227-35. Disponible en:
https://rbc.inca.gov.br/revista/index.php/revista/article/view/82
13. Mojica Lobo ND, Moreno Peña ID. Manifestaciones bucales en pacientes pediátricos bajo terapia oncológica y su protocolo de higiene oral. Revisión de la literatura. [Internet]; 2021 [citado 13/08/2021]. Disponible en: http://repositorio.uan.edu.co/handle/123456789/4652
14. Rice PJ, Perry RJ, Afzal Z, Stockley IH. Antibacterial prescribing and warfarin: a review. British Dental Jounal[Internet]. 2003 [citado 04/07/2021]; 194: 411-15. Disponible en: https://www.nature.com/articles/4810049.
15. Pototski M, Amenábar JM. Dental management of patients receiving anticoagulation or antiplatelet treatment. J Oral Sci[Internet]. 2007; [citado 4 Jul 2021]; 49(4): 253-8. Disponible en: https://www.jstage.jst.go.jp/article/josnusd/49/4/49_4_253/_pdf
16. Al-Mubarak S, Rass MA, Alsuwyed A, Alabdulaaly A, Ciancio S. Thromboembolic risk and bleeding in patients maintaining or stopping oral anticoagulant therapy during dental extraction. J Thromb. Haemost[Internet]. 2006 [citado 04/07/2021]; 4(3): 689–91. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16460459/.
17. Sindet-Pedersen S, Ramstrom G, Bernvil S, Blomback M. Hemostatic effect of tranexamic acid mouth washing anticoagulant-treated undergoing oral surgery. N Engl J Med[Internet]. 1989; [citado 04/07/2021]; 320(13): 840-3. Disponible en: https://pubmed.ncbi.nlm.nih.gov/2648144/#:~:text=There%20were%20no%20systemic%20side,are%20being%20treated%20with%20anticoagulants
18. Malden NJ, Santini A, Mather CI, Gardner A. Minor oral surgery and interference with anticoagulation in patients taking warfarin :a retrospective study.Br J Oral Maxillofac Surg[Internet]. 2007 [citado 04/07/2021]; 45(8): 645-7. Disponible en: https://eprints.gla.ac.uk/259718/.
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/