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患有伯纳德-索利尔综合征患者的牙髓病治疗

Endodontic management of a patient with Bernard-Soulier syndrome.

作者信息

Johns Dexton Antony, Gopalan Reji P, Kamble Ganesh Tukaram, Vidyanath S

机构信息

Department of Endodontics, Government Dental College, Calicut, Kerala, India.

Department of Prosthodontics, Government Dental College, Calicut, Kerala, India.

出版信息

J Conserv Dent. 2014 Mar;17(2):188-91. doi: 10.4103/0972-0707.128044.

Abstract

Bernard-Soulier syndrome is a rare inherited disorder with giant platelets, thrombocytopenia and a prolonged bleeding time. These abnormalities are caused by genetic defects of the glycoprotein Ib/IX/V complex that constitutes the von Willebrand factor receptor on the platelet surface. We are documenting a 30-year-old female patient reported with a chief complaint of swelling in relation to right maxillary canine for 5 days. The primary treatment remains platelet transfusion. Root canal treatment was performed following platelet rich plasma transfusion. As the tooth was necrotic and had a periapical pathology post-operative bleeding was absent. The root canal treatment was uneventful and the patient was asymptomatic. Optimum oral hygiene practices were emphasized to avoid dental diseases.

摘要

伯纳德-索利尔综合征是一种罕见的遗传性疾病,其特征为血小板巨大、血小板减少以及出血时间延长。这些异常是由糖蛋白Ib/IX/V复合物的基因缺陷引起的,该复合物构成血小板表面的血管性血友病因子受体。我们记录了一名30岁女性患者,其主要诉求是右上颌尖牙肿胀5天。主要治疗方法仍然是血小板输注。在输注富血小板血浆后进行了根管治疗。由于牙齿坏死且有根尖病变,术后未出现出血情况。根管治疗过程顺利,患者无症状。强调了最佳口腔卫生习惯以避免牙科疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bb/4001280/58b02a31d0a4/JCD-17-188-g001.jpg

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