EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

THALASSEMIA - PAEDIATRIC DENTISTRY PERSPECTIVE - AN OVERVIEW

*Dr. SVSG. Nirmala M.D.S., Dr. M.S. Minor Babu M.D.S. and Dr. Saikrishna Degala M.D.S.

ABSTRACT

Thalassemia is a blood disorder, characterised by defective haemoglobin production which is associated with splenomegaly and bone changes and effects early in life. Therefore, it is also known as coole‘s anaemia. Clinical manifestations are mucosa is pale, atrophic glossitis, chipmunk face appearance, nasal bridge is depressed, maxillary sinus is small, teeth are discoloured, spiky shaped short crowns and roots, macroglossia due to flared incisors, increased overjet and multiple spacing between the teeth causing malocclusion, taurodontism, absence of inferior alveolar canal, cortex of the mandible is thin, obliterated, sinus obliterated. Dental care should given as a team approach. Prophylactic antibiotics should be given prophylactically especially post-splenectomy. Avoid aspirin, prefer acetaminophen, oral chelators commonly causes hepatitis, neutropenia and agranulocytosis. Orthodontic treatment should be considered early to reduce the effects on a craniofacial skeleton and apply low forces due to thin cortices and follow short interval between the appointments. Avoid treatment during a crisis and only if the emergency occurs treatment should attempt. Avoid treatment under general anaesthesia. However, if necessary it should be carried out with the haematologist. Oral surgical procedures, periodontal procedures, pericoronitis and abscess, are to be undertaken under antibiotic prophylaxis. Apart from above this article discuss etiology clinical features and management of Children with Thalassemia.

Keywords: children, dental care, oral health, Thalassemia facies.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia