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Oral surgery in patients with bleeding disorders is associated with a high risk of bleeding during and after surgery. This article is aimed to present the case of an eight-year-old girl suffering from severe Fanconi anemia with pancytopenia who underwent a dental extraction. The hemostatic effect of local administration of tranexamic acid in combin...
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Citations
... There are successful reports in the literature for patients affected by thrombocytopenia and Fanconi Anemia. Peisker et al. 14 Patients with FA need a close follow-up with an interdisciplinary team, which should include a hematologist for the control of anemia; a pediatrician for managing systemic problems of children; an endocrinologist for the assessment and treatment of developmental disorders; an ENT specialist for the examination of nasopharynx, oropharynx, and larynx; a cardiologist for heart diseases; and an oncologist for the management of tumors. A pediatric dentist should also be a part of the multidisciplinary team. ...
Oral surgery in patients with bleeding disorders is associated with a high risk of bleeding during and after surgery. This article is aimed to present the case of an eight-year-old girl suffering from severe Fanconi anemia with pancytopenia who underwent a dental extraction.
... An antifibrinolytic treatment using tranexamic acid (TA) is also recommended to prevent postoperative bleeding. Various reports have described the successful local use of TA for the reduction of the oral bleeding [18]. In the case we report, a successful control of the gingival bleeding was obtained using compressive gauze saturated with TA. ...
... An antifibrinolytic treatment using tranexamic acid (TA) is also recommended to prevent postoperative bleeding. Various reports have described the successful local use of TA for the reduction of the oral bleeding [18]. In the case we report, a successful control of the gingival bleeding was obtained using compressive gauze saturated with TA. ...
Fanconi anemia (FA) is a rare autosomal recessive disorder characterized by multiple congenital abnormalities, bone marrow failure, and higher susceptibility to malignancies, especially to head and neck carcinomas. Only few reports about the oral manifestations of FA are available. The main reported oral conditions associated with FA are microdontia and advanced periodontitis. The aim of this paper was to report a case of a 10-year-old patient with FA presenting severe spontaneous gingival bleeding, as well as to discuss the role of the dentist in the management and treatment of this condition.
