Dentoalveolar trauma in a patient with chronic idiopathic thrombocytopenic purpura: a case report.
A case is presented of a 13-year-old boy with chronic idiopathic thrombocytopenic purpura (ITP) who sustained traumatic labial luxation of both lower central incisors, with partial alveolar fracture resulting in displacement of the labial alveolar plate. Intravenous immunoglobulin (Fleibogamma, 1 g/kg body weight x 2 days) was administered, resulting in the patient's platelet count rising from 15,000/mm3 to 70,000/mm3. Under general anesthesia, the displaced lower labial alveolus and luxated teeth were repositioned and splinted 2 days following trauma. Healing was uneventful. Subsequently, both lower central incisors became nonvital and were endodontically treated. The dental treatment of this patient with ITP is discussed in terms of emergency management, and subsequent care.
Finucane
David
D
Pediatric dentistry, Dublin Dental School and Hospital, Dublin, Ireland. dfinucan@dental.tcd.ie
Fleming
Padraig
P
Smith
Owen
O
D000293:Adolescent; D002908:Chronic Disease; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000008:administration & dosage; D007180:Incisor / Q000293:injuries* / Q000601:surgery; D008297:Male; D008337:Mandibular Fractures / Q000150:complications / Q000601:surgery*; D006472:Oral Hemorrhage / Q000517:prevention & control*; D010976:Platelet Count; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications / Q000188:drug therapy*; D013165:Splints; D014084:Tooth Avulsion / Q000150:complications / Q000601:surgery*; D019553:Tooth, Nonvital / Q000175:diagnosis
D016756:Immunoglobulins, Intravenous