医療インプラントと外科

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Sickle Cell Disease?s Orofacial Manifestation and Dental Management: A Scoping Review

Gulzar Ahmed

A growing global health issue, sickle cell disease (SCD) has seen tremendous advancements in treatment,particularly after 2017. The dental treatment for sickle cell disease was not, however, included in any systematic evaluations of clinical trials (SCD). This article seeks to describe the oral characteristics of sickle disease and talk about oral management techniques that dental professionals can use as a guide. With the help of Web of Science, Google Scholar, and PubMed, a thorough literature review was carried out. The tactics for searching were created to include publications from January 2010 to March 2020. Keywords were used to identify numerous abstracts. These abstracts were subsequently examined, revealing details on the oral health characteristics of SCD manifestation.

A narrative review that enumerates every facet of the oral manifestation in persons with SCD was created based on all of these articles and clinical practise. According to the study’s findings, there is clear evidence pointing to a developmental enamel deficiency that causes hypoplasia and increases a person’s susceptibility to dental caries.Another significant finding of this review was that individuals with SCD experience a vaso-occlusive crisis in the dental pulp’s microcirculation, which can cause both symptomatic and asymptomatic pulpal necrosis without odontogenic disease in an otherwise healthy tooth.

The study also discovered that employing a multidisciplinary approach has a significant role in managing persons with SCD and that early detection, intervention, and prevention are vital for improved oral health care. Chronic general health issues plague sickle cell disease patients. Their primary attention shifts to the haematological condition, making poor oral health secondary and, at most, raising the risk of dental caries. This study offers guidelines for better dental therapy of SCD patients as well as a general description of the oral manifestations of SCD. Dental professionals frequently misinterpret SCD patients, and they are unable to provide effective care because they lack the necessary information and criteria. In order to provide better dental care, this paper tries to emphasise the necessary steps.