Extreme tooth abnormalities and treatment under general anesthesia in a child with chronic GVHD surviving relapse of acute lymphoblastic leukemia
| Autor: | Shigeru Maeda, Minako Ishii, Michiyo Suda, Takuya Miyawaki, Hitoshi Higuchi, Yoshihide Okazaki, Masahiko Egusa, Yumiko Tomoyasu |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Lymphoblastic Leukemia medicine.medical_treatment Anesthesia Dental Graft vs Host Disease Anesthesia General Dental Caries stomatognathic system Recurrence Medicine Humans Abnormalities Multiple Dental Restoration Permanent Survival rate Permanent teeth Bone Marrow Transplantation Chemotherapy business.industry Tooth Abnormalities General Medicine Total body irradiation Precursor Cell Lymphoblastic Leukemia-Lymphoma Airway Obstruction stomatognathic diseases Anesthesia Chronic Disease Vomiting Sputum Chronic gvhd medicine.symptom business Whole-Body Irradiation |
| Zdroj: | The Journal of clinical pediatric dentistry. 37(2) |
| ISSN: | 1053-4628 |
| Popis: | Treatment for acute lymphoblastic leukemia (ALL) mainly consists of chemotherapy, irradiation and bone marrow transplantation. In terms of long-term treatment effects, dental abnormalities and chronic graft-versus host disease (GVHD) are problems. We present a patient surviving relapse of ALL at one year of age. He had extreme dental abnormalities and multiple caries. Most of his permanent teeth were abnormal, and multiple caries were observed. Since he had a strong vomiting reaction to dental treatment, general anesthesia was given. During the general anesthesia, much sputum was aspirated because of chronic GVHD. His dental condition was worse than other cases reported previously. Since the survival rate has increased recently, the dental effects of ALL treatment have become significant. Especially, in patients undergoing total body irradiation at under 2 years of age, it is highly likely that dental problems will occur in the future. |
| Databáze: | OpenAIRE |
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