Uznapredovali generalizirani parodontitis kod pacijenta s aplastičnom anemijom: prikaz petogodišnjeg praćenja Severe Generalized Periodontitis in a Patient with an Aplastic Anemia: a 5 Year Follow-up Case Report
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چکیده
Adresa za dopisivanje Dr. sc. Ivan Puhar Sveučilište u Zagrebu Stomatološki fakultet Zavod za parodontologiju Gundulićeva 5, HR-10000 Zagreb tel: +38514899219 [email protected] Sažetak Aplastična anemija hematološka je bolest koju obilježava pancitopenija. U ovom prikazu slučaja opisana je mlada pacijentica s neliječenim parodontitisom povezanim s hematološkim bolestima i ciklosporinskom terapijom. Parodontna terapija provedena je u dva uzastopna dana, a sastojala se od nekirurške i antibiotske terapije uz dodatak antifibrinolitičke terapije. Obavljeni su mikrobiološki PCR testovi i testiranje parodontitis IL-1 polimorfizma. Nakon parodontne terapije upala se povukla te su izrađene mobilne parcijalne proteze. Nakon petogodišnjeg praćenja pacijentica je imala plitke dubine sondiranja unatoč izostanku suradnje tijekom faze održavanja. Aplastična anemija povećava rizik od pojave težih oblika parodontitisa koji dodatno mogu biti komplicirani ciklosporinskom terapijom. Parodontna terapija kod ovakvih pacijenata mora biti dopunjena antibioticima.
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