Arresting rampant dental caries with silver diamine fluoride in a young teenager suffering from chronic oral graft versus host disease post-bone marrow transplantation: a case reportReportar como inadecuado




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BMC Research Notes

, 7:3

First Online: 03 January 2014Received: 29 July 2013Accepted: 04 December 2013DOI: 10.1186-1756-0500-7-3

Cite this article as: Chu, CH., Lee, A.H.C., Zheng, L. et al. BMC Res Notes 2014 7: 3. doi:10.1186-1756-0500-7-3

Abstract

BackgroundRampant caries is an advanced and severe dental disease that affects multiple teeth. This case describes the management of rampant caries in a young teenager suffering from chronic oral graft versus host disease after allogeneic bone marrow transplantation.

Case presentationA 14-year-old Chinese boy suffering from β–thalassemia major was referred to the dental clinic for the management of rampant dental caries. An oral examination revealed pale conjunctiva, bruising of lips, and depapillation of tongue indicating an underlying condition of anemia. The poor oral condition due to topical and systemic immunosuppressants was seriously aggravated, and rampant caries developed rapidly, affecting all newly erupted, permanent teeth. The teeth were hypersensitive and halitosis was apparent. Strategies for oral health education and diet modification were given to the patient. Xylitol chewing gum was used to stimulate saliva flow to promote remineralization of teeth. Silver diamine fluoride was topically applied to arrest rampant caries and to relieve pain from hypersensitivity. Carious teeth with pulpal involvement were endodontically treated. Stainless steel crowns were provided on molars to restore chewing function, and polycarbonate crowns were placed on premolars, upper canines and incisors.

ConclusionThis case report demonstrates success in treating a young teenager with severe rampant dental decay by contemporary caries control and preventive strategy.

KeywordsSilver diamine fluoride Rampant caries Graft versus host disease Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-7-3 contains supplementary material, which is available to authorized users.

Chun-Hung Chu, Angeline Hui-Cheng Lee, Liwu Zheng, May Lei Mei and Godfrey Chi-Fung Chan contributed equally to this work.

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Autor: Chun-Hung Chu - Angeline Hui Cheng Lee - Liwu Zheng - May Lei Mei - Godfrey Chi-Fung Chan

Fuente: https://link.springer.com/



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