International Journal of Clinical Pediatric Dentistry

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VOLUME 12 , ISSUE 6 ( November-December, 2019 ) > List of Articles

CASE REPORT

Dental Rehabilitation of a Child with Acute Lymphocytic Leukemia: A Case Report

Raed R Gholman, Emtenan H Felemban

Citation Information : Gholman RR, Felemban EH. Dental Rehabilitation of a Child with Acute Lymphocytic Leukemia: A Case Report. Int J Clin Pediatr Dent 2019; 12 (6):582-586.

DOI: 10.5005/jp-journals-10005-1664

License: CC BY-NC 4.0

Published Online: 25-11-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Leukemia is the cancer of blood cells and bone marrow and it is the most common cancer in children. The cause of acute lymphocytic leukemia is unknown, but many predisposing risk factors could be associated, such as an exposure to radiation, chemical or viral infections. A six-year-old boy was presented with multiple carious teeth and severe pain related to his lower left teeth. Regarding medical history, the child was diagnosed with acute lymphocytic leukemia and after consultation with patient's physician; dental treatment was planned to be accomplished under general anesthesia. The aim of treatment was to eliminate sources of infections, restore carious teeth, relief pain, and improve oral hygiene and patient's parents' education regarding general and oral health. Full-mouth rehabilitation was accomplished after preparing the patient with pediatric hematology/oncology team under general anesthesia. During recall visits, good oral hygiene and caries-free teeth were obtained. It is important to have solid knowledge regarding the medical conditions, the necessary consultations with medical subspecialties and the appropriate timings for treatment.


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  1. Belson M, Kingsley B, et al. Risk factors for acute leukemia in children: a review. Environ Health Perspect 2007;115(1):138–145. DOI: 10.1289/ehp.9023.
  2. Hegde AM, Joshi S, et al. Evaluation of oral hygiene status, salivary characteristics and dental caries experience in acute lymphoblastic leukemic (ALL) children. J Clin Pediatr Dent 2011;35(3):319–323. DOI: 10.17796/jcpd.35.3.u5kx28q33m760834.
  3. Mathur VP, Dhillon JK, et al. Oral health in children with leukemia. Indian J Palliat Care 2012;18(1):12–18. DOI: 10.4103/0973-1075.97343.
  4. Wu J, Fantasia JE, et al. Oral manifestations of acute myelo- monocytic leukemia: a case report and review of the classification of leukemias. J Periodontol 2002;73(6):664–668. DOI: 10.1902/jop.2002.73.6.664.
  5. Weckx LL, Hidal LB, et al. Oral manifestations of leukemia. Ear Nose Throat J 1990;69(5):341–346.
  6. Bruch JM, Treister NS. Clinical Oral Medicine and Pathology. Humana Press; 2010; pp. 139–157.
  7. Silva BA, Siqueira CR, et al. Oral manifestations leading to the diagnosis of acute lymphoblastic leukemia in a young girl. J Indian Soc Pedod Prev Dent 2012;30(2):166–168. DOI: 10.4103/0970-4388.100003.
  8. Orbak R, Orbak Z. Oral condition of patients with leukemia and lymphoma. J Nihon Univ Sch Dent 1997;39(2):67–70. DOI: 10.2334/josnusd1959.39.67.
  9. Deliverska EG, Krasteva A. Oral signs of leukemia and dental management. Journal of IMAB 2013;19(4):388–391. DOI: 10.5272/jimab.2013194.388.
  10. Zimmermann C, Meurer MI, et al. Dental treatment in patients with leukemia. J Oncol 2015;2015:571739. DOI: 10.1155/2015/571739.
  11. American Academy of Pediatric Dentistry. Dental Management of Pediatric Patients Receiving Chemotherapy, Hematopoietic Cell Transplantation, and/or Radiation Therapy. Reference Manual 2016;37(6):380–388.
  12. Lowal KA, Alaizari NA, et al. Dental considerations for leukemic pediatric patients: an updated review for general dental practitioner. Mater Sociomed 2015;27(5):359–362. DOI: 10.5455/msm.2015.27.359-362.
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