Page 54 - MDA SCATE 2024 Programme Book

ORAL PRESENTATION

ABSTRACTS

Dental Rehabilitation of a Child with Chronic Idiopathic Thrombocytopenic
Abstract 6 Purpura (ITP): A multidisciplinary approach
NMRR Registration Number: NMRR ID-23-06301-Y14
Amran, A., Sinnumu Naidu, S. S. B., Vijayakumar, T., & Mohd Kasim, Z. 2
1
1
1
1. Department of Paediatric Dentistry, Hospital Kajang, Malaysia
2. Department of Paediatric, Hospital Kajang, Malaysia
Background: Idiopathic Thrombocytopenic Purpura (ITP) is characterized
by increased autoimmune platelet destruction and inhibition of platelet
production. Dental rehabilitation under general anesthesia (GA) poses
a risk of bleeding, due to thrombocytopenia, and infection, due to
immunosuppressive treatments. The literature has advocated various
methods to lower the risk of bleeding, including platelet transfusion,
antifibrinolytics, desmopressin, prednisolone, strict local precautions, and
minimally invasive techniques.
Case Presentation: A six-year-old boy was presented with severe toothache
and multiple dental caries. The child was recently diagnosed with chronic
ITP with an average platelet count of 15 x 109 L-1 and a history of non-
responsive IV immunoglobulin (IVIg) transfusion. The treatments aimed to
eradicate infection sources, restore decayed teeth, alleviate pain, improve
oral hygiene, and educate the patient’s parents about general and oral
health. Following consultation with the patient’s physician, a full-mouth
rehabilitation with nine teeth extractions was performed, utilizing platelet
transfusions pre-, intra-, and post-operatively, as well as antifibrinolytics,
local measures, and antibiotics. During the recall visit, good oral hygiene
and caries-free teeth were obtained. This case highlights the management
of dental rehabilitation in a child with chronic ITP and platelet counts below
conventional thresholds. It’s essential to have an in-depth grasp of medical
disorders, the importance of a multidisciplinary approach involving medical
subspecialties, and the appropriate timings to achieve successful outcomes.
Conclusion: This case highlights the management of dental rehabilitation in
a child with chronic ITP and platelet counts below conventional thresholds.
It’s essential to have an in-depth grasp of medical disorders, the importance
of a multidisciplinary approach involving medical subspecialties, and the
appropriate timings to achieve successful outcomes.

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