Agnihotri Rupali, Bhat Khandige Mahalinga, Bhat Giliyar Subraya, Pandurang Pratibha
Department of Periodontics, Manipal College of Dental Sciences, Manipal, Karnataka, India.
Spec Care Dentist. 2009 May-June;29(3):141-4. doi: 10.1111/j.1754-4505.2009.00079.x.
This article describes the periodontal management of a patient with severe aplastic anemia. A 51-year-old female patient was hospitalized with aplastic anemia and was referred for the management of her cyclosporine-induced gingival enlargement and bleeding from her gums. She also complained of pain in the palatal area and the mandibular anterior region. The patient was managed successfully with supra- and subgingival instrumentation, local drug delivery (LDD), electrosurgery, repeated oral hygiene instruction, and constant supervision. The treatment resulted in dramatic improvement in the patient's oral health and quality of life. This report highlights the importance of nonsurgical therapy followed by electrosurgery for the management of residual gingival enlargement.
本文描述了一名重型再生障碍性贫血患者的牙周治疗情况。一名51岁女性患者因再生障碍性贫血住院，并因环孢素引起的牙龈增生和牙龈出血前来接受治疗。她还主诉腭部和下颌前部区域疼痛。通过龈上和龈下器械治疗、局部药物递送（LDD）、电外科手术、反复的口腔卫生指导以及持续监督，该患者得到了成功治疗。治疗使患者的口腔健康和生活质量得到了显著改善。本报告强调了非手术治疗后进行电外科手术对处理残留牙龈增生的重要性。
