Yamamoto Hidekazu, Wada Yoshiyuki, Ito Shogo, Kawase Takashi, Tamura Masato
Kamishihoro Dental Clinic, Hokkaido University, Sapporo, Hokkaido, Japan.
Department of Oral Biochemistry and Molecular Biology, Graduate School of Dental Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Saudi J Med Med Sci. 2022 Jan-Apr;10(1):67-71. doi: 10.4103/sjmms.sjmms_353_21. Epub 2022 Jan 12.
Treatments for improving iron deficiency anemia are generally aimed at increasing oral iron intake and/or administration. Such treatments, however, have been unsuccessful in managing nutritional disorders, including anemia, in patients with masticatory dysfunction caused by impaired occlusion. Nevertheless, few studies have assessed the potential benefits of providing optimal occlusion in such cases. Here, we report a case involving a 53-year-old woman with iron deficiency anemia, wherein we attempted to facilitate efficient mastication by establishing functional occlusion with dental implant placement. The patient was diagnosed with iron deficiency anemia and hospitalized for blood transfusion 2 years before she visited our dental clinic. At the first visit, her hemoglobin (Hb) and mean corpuscular volume values were low; sodium ferrous citrate administration and dietary guidance led to slight improvement. However, blood transfusions and iron supplementation had been ineffective over longer duration. After dental implant placement, her Hb and mean corpuscular volume values were restored and maintained for >4 years without medication. Through this report, we highlight an alternative, non-pharmacological treatment strategy for iron deficiency anemia.
改善缺铁性贫血的治疗通常旨在增加口服铁摄入量和/或进行铁剂给药。然而,对于因咬合功能受损导致咀嚼功能障碍的患者,此类治疗在管理包括贫血在内的营养紊乱方面并不成功。尽管如此,很少有研究评估在这种情况下提供最佳咬合的潜在益处。在此,我们报告一例涉及一名53岁缺铁性贫血女性的病例,其中我们试图通过植入牙种植体建立功能性咬合来促进有效咀嚼。该患者在就诊于我们牙科诊所的2年前被诊断为缺铁性贫血并因输血住院。初诊时,她的血红蛋白(Hb)和平均红细胞体积值较低;给予枸橼酸铁钠和饮食指导后有轻微改善。然而,长期来看输血和补充铁剂均无效。植入牙种植体后,她的Hb和平均红细胞体积值恢复正常并在未用药的情况下维持了4年以上。通过本报告,我们强调了一种针对缺铁性贫血的替代性非药物治疗策略。