Severe Generalized Periodontitis in a Patient with an Aplastic Anemia: a 5 Year Follow-up Case Report

• Published in: Acta stomatologica croatica Vol. 49; no. 2; pp. 151 - 157
• Main Authors: Puhar, Ivan, Božić, Darko, Žabarović, Domagoj, Jelušić, Damir, Plančak, Darije
• Format: Journal Article
• Language: English
• Published: Croatia University of Zagreb School of Dental Medicine, and Croatian Dental Society - Croatian Medical Association 01.06.2015; University of Zagreb. School of Dental Medicine
• Subjects: Anemia, Aplastic; Antifibrinolytic Agents; Case Report; Cyclosporine; Gingival hyperplasia; Pancytopenia; Periodontitis; Antifibrinolytic Agents; Anemia, Aplastic; Cyclosporine; Periodontitis; Gingival hyperplasia; Pancytopenia
• ISSN: 0001-7019; 1846-0410
• DOI: 10.15644/asc49/2/9

Aplastic anemia is a hematological disorder characterized by pancytopenia. This case report presents a young patient with untreated periodontitis associated with hematological disorders, and cyclosporine therapy. During 2 consecutive days, periodontal therapy which consisted of nonsurgical therapy supplemented with an antibiotic treatment and antifibrinolytic therapy was performed. Commercial microbiological PCR tests and periodontitis IL-1 polymorphism risk test were performed. Following the periodontal therapy, the inflammation was resolved and the patient's occlusion was restored by means of removable partial dentures. After the 5 year follow-up, the patient still remained with shallow probing depths although there was inadequate compliance during the maintenance phase. Aplastic anemia increases the risk of onset of severe forms of periodontitis that can be additionally complicated with cyclosporine therapy. In such patients, periodontal therapy must be supplemented with antibiotics.