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Article: Arresting rampant dental caries with silver diamine fluoride in a young teenager suffering from chronic oral graft versus host disease post-bone marrow transplantation: a case report
Title | Arresting rampant dental caries with silver diamine fluoride in a young teenager suffering from chronic oral graft versus host disease post-bone marrow transplantation: a case report |
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Authors | |
Keywords | Graft versus host disease Rampant caries Silver diamine fluoride |
Issue Date | 2014 |
Publisher | BioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcresnotes/ |
Citation | BMC Research Notes, 2014, v. 7 n. 1, article no. 3 How to Cite? |
Abstract | BACKGROUND: Rampant caries is an advanced and severe dental disease that affects multiple teeth. This case describes the management of rampant caries in a young teenager suffering from chronic oral graft versus host disease after allogeneic bone marrow transplantation. CASE PRESENTATION: A 14-year-old Chinese boy suffering from beta-thalassemia major was referred to the dental clinic for the management of rampant dental caries. An oral examination revealed pale conjunctiva, bruising of lips, and depapillation of tongue indicating an underlying condition of anemia. The poor oral condition due to topical and systemic immunosuppressants was seriously aggravated, and rampant caries developed rapidly, affecting all newly erupted, permanent teeth. The teeth were hypersensitive and halitosis was apparent. Strategies for oral health education and diet modification were given to the patient. Xylitol chewing gum was used to stimulate saliva flow to promote remineralization of teeth. Silver diamine fluoride was topically applied to arrest rampant caries and to relieve pain from hypersensitivity. Carious teeth with pulpal involvement were endodontically treated. Stainless steel crowns were provided on molars to restore chewing function, and polycarbonate crowns were placed on premolars, upper canines and incisors. CONCLUSION: This case report demonstrates success in treating a young teenager with severe rampant dental decay by contemporary caries control and preventive strategy. |
Persistent Identifier | http://hdl.handle.net/10722/198969 |
ISSN | 2023 Impact Factor: 1.6 2023 SCImago Journal Rankings: 0.486 |
PubMed Central ID |
DC Field | Value | Language |
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dc.contributor.author | Chu, CH | en_US |
dc.contributor.author | Lee, AHC | en_US |
dc.contributor.author | Zheng, L | en_US |
dc.contributor.author | Mei, L | en_US |
dc.contributor.author | Chan, GCF | en_US |
dc.date.accessioned | 2014-07-22T00:57:57Z | - |
dc.date.available | 2014-07-22T00:57:57Z | - |
dc.date.issued | 2014 | en_US |
dc.identifier.citation | BMC Research Notes, 2014, v. 7 n. 1, article no. 3 | en_US |
dc.identifier.issn | 1756-0500 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/198969 | - |
dc.description.abstract | BACKGROUND: Rampant caries is an advanced and severe dental disease that affects multiple teeth. This case describes the management of rampant caries in a young teenager suffering from chronic oral graft versus host disease after allogeneic bone marrow transplantation. CASE PRESENTATION: A 14-year-old Chinese boy suffering from beta-thalassemia major was referred to the dental clinic for the management of rampant dental caries. An oral examination revealed pale conjunctiva, bruising of lips, and depapillation of tongue indicating an underlying condition of anemia. The poor oral condition due to topical and systemic immunosuppressants was seriously aggravated, and rampant caries developed rapidly, affecting all newly erupted, permanent teeth. The teeth were hypersensitive and halitosis was apparent. Strategies for oral health education and diet modification were given to the patient. Xylitol chewing gum was used to stimulate saliva flow to promote remineralization of teeth. Silver diamine fluoride was topically applied to arrest rampant caries and to relieve pain from hypersensitivity. Carious teeth with pulpal involvement were endodontically treated. Stainless steel crowns were provided on molars to restore chewing function, and polycarbonate crowns were placed on premolars, upper canines and incisors. CONCLUSION: This case report demonstrates success in treating a young teenager with severe rampant dental decay by contemporary caries control and preventive strategy. | en_US |
dc.language | eng | en_US |
dc.publisher | BioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcresnotes/ | - |
dc.relation.ispartof | BMC Research Notes | en_US |
dc.rights | BMC Research Notes. Copyright © BioMed Central Ltd. | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Graft versus host disease | - |
dc.subject | Rampant caries | - |
dc.subject | Silver diamine fluoride | - |
dc.title | Arresting rampant dental caries with silver diamine fluoride in a young teenager suffering from chronic oral graft versus host disease post-bone marrow transplantation: a case report | en_US |
dc.type | Article | en_US |
dc.identifier.email | Chu, CH: chchu@hku.hk | en_US |
dc.identifier.email | Lee, AHC: bollies4@hku.hk | en_US |
dc.identifier.email | Zheng, L: lwzheng@hku.hk | en_US |
dc.identifier.email | Mei, L: mei1123@hku.hk | en_US |
dc.identifier.email | Chan, GCF: gcfchan@hku.hk | en_US |
dc.identifier.authority | Chu, CH=rp00022 | en_US |
dc.identifier.authority | Zheng, L=rp01411 | en_US |
dc.identifier.authority | Mei, L=rp01840 | en_US |
dc.identifier.authority | Chan, GCF=rp00431 | en_US |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1186/1756-0500-7-3 | en_US |
dc.identifier.pmid | 24383434 | - |
dc.identifier.pmcid | PMC3880541 | - |
dc.identifier.scopus | eid_2-s2.0-84891758027 | - |
dc.identifier.hkuros | 230984 | en_US |
dc.identifier.volume | 7 | en_US |
dc.identifier.issue | 1 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1756-0500 | - |