Dental management for a patient of Bernard-Soulier syndrome

  • Nakatsuka Atsushi
    Department of Dentistry and Oral Surgery, Shinshu University School of Medicine
  • Kojima Yuko
    Department of Dentistry and Oral Surgery, Shinshu University School of Medicine
  • Narikawa Junnosuke
    Department of Dentistry and Oral Surgery, Shinshu University School of Medicine
  • Kurita Hiroshi
    Department of Dentistry and Oral Surgery, Shinshu University School of Medicine
  • Kurashina Kenji
    Department of Dentistry and Oral Surgery, Shinshu University School of Medicine

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Other Title
  • ベルナール・スーリエ症候群患者の歯科治療経験

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Bernard-Soulier syndrome is a rare disease characterized by bleeding tendency. Bleeding occurs due to the congenital defect of platelet glycoprotein (GP) necessary for platelet adhesion. We report experience of dental treatments for a patient of Bernard-Soulier syndrome.<BR>A 22-year-old female was referred to us from the department of pediatrics with a complaint of pain in the left maxillary molar region. Her oral hygine was poor. She had many decayed teeth and a large quantity of dental calculus was found. She showed severe marginal gingivitis with bleeding from periodontal pockets.<BR>After platelet transfusion, the patient received dental treatments including tooth brushing instruction, tooth extraction of _??_78 and root canal treatments of infected _??_6. It was difficult to control the postoperative bleeding after scaling and tooth extraction and additional platelet transfusion was necessary. Her oral condition has been improved remarkably, resulting in healthy gingiva without bleeding, although she is still under dental treatments for other decayed teeth as an out patient.<BR>From our experience of dental management for a Bernard-Sourier syndrome patient, it is the most important for the patient to understand the importance of oral care and to maintain a good oral condition by herself.

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