27. Leukaemias. Dental management of the patients. Flashcards
1
Q
Leukaemia definition
A
- Malignant neoplasm of the bone marrow
- Overproduction of one type of white blood cell
- Expand and replace normal bone marrow suppresing normal cells and platelets
- Excess white cells circulate in blood
2
Q
Most common leukemias
A
- Acute lymphoblastic leukaemia(children)
- Acute myeloblastic anaemia
3
Q
Diagnosis of Acute Leukemia
A
- Peripheral blood tests
- Bone marrow biopsy
4
Q
Major effects of Acute leukaemia
A
- Anaemia
- Raised infection risk
- Bleeding tendency
- Organ failure
Gingival swelling
5
Q
Other effects of Leukemias
A
- Lymphadenopathy
- Abnormal gingival bleeding
- Leukaemic deposits
- Musosal ulceration
- Purpura
- Delayed healing
6
Q
Management of Leukemias
A
- Vigilant of possible cases
- Biopsy when gingival swelling unresponsive to treatment
- Dental review and preventative treatment for patients having cytotoxic treatment
- Excellent oral hygiene control
- Chlorhexidine mouthwash during treatment
- Antibiotic therapy
- Extractions deferred
