Periodontal treatment of a Glanzmann's thrombasthenia patient: A case report / 대한치주과학회지
The Journal of the Korean Academy of Periodontology
;
: 597-602, 1997.
Article
in Korean
| WPRIM
| ID: wpr-77342
ABSTRACT
Glanzmann's thrombasthenia is a qualitative platelet disorder characterized by a deficiency in the platelet membrane glycoproteins IIb/IIIa. It belongs to a group of hereditary platelet disorders typified by normal platelet numbers and a prolonged bleeding time. The severity of bleeding does not correlate with the severity of the platelet glycoprotein IIb/IIIa abnormality. The present case report describes the periodontal treatment of a patient with Glanzmann's thrombasthenia. A 30-year-old female with a history of Glanzmann's thrombasthenia was referred for gingival bleeding on tooth brushing and discomforts in #38 area. The periodontal finding revealed a diagnosis of localized slight adult periodontitis. Root planing and extraction of #38 was performed under 12 pack of platelets transfusion and digital compression was done for hemostasis. The gingival bleeding ceased within a day in maxilla and 2 days later in mandible. 42 pack of platelets was administered for 3 days of post-treatment and for iron-deficiency anemia 3 pack of RBCs was transfused 2 days later. 1 week later the inflammation in gingiva disappeared and gingival stippling appeared. The clinical result we got was good and in such a medically compromised patient it is an ability to maintain a proper oral hygiene that is essential both for oral and systemic health.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oral Hygiene
/
Platelet Count
/
Tooth
/
Bleeding Time
/
Blood Platelet Disorders
/
Blood Platelets
/
Thrombasthenia
/
Glycoproteins
/
Platelet Membrane Glycoproteins
/
Root Planing
Type of study:
Diagnostic study
/
Qualitative research
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Academy of Periodontology
Year:
1997
Type:
Article
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