Hematological Dental Management Flashcards
(24 cards)
What are the oral findings, drugs to avoid and dental management for Iron Deficiency Anemia (Plummer-Vinson Syndrome)?
- Oral Findings: Pale, sore, atrophic mucosa, angular cheilitis, aphthae, dysphagia with webbing
- Drugs to Avoid: General anesthesia if Hb <10 g/dL
- Management: Treat iron deficiency; defer routine dental care if Hb <11 g/dL
What are the oral findings, drugs to avoid and dental management for Pernicious Anemia (B12 Deficiency)?
- Oral Findings: Paresthesia, burning tongue/lips, pale mucosa
- Drugs to Avoid: None specified
- Management: B12 replacement; routine dental care after treatment
What are the oral findings, drugs to avoid and dental management for Aplastic Anemia?
- Oral Findings: Pallor, petechiae, bleeding gums, ulcers, necrotizing gingivostomatitis
- Drugs to Avoid: None specified
- Management: Hematologic support, manage infection/bleeding
What are the oral findings, drugs to avoid and dental management for Thalassemia?
- Oral Findings: Chipmunk facies, malocclusion, maxillary expansion, taurodontism
- Drugs to Avoid: None specified
- Management: Preventive dental care, monitor facial growth
What are the oral findings, drugs to avoid and dental management for G6PD Deficiency?
- Oral Findings: No specific findings
- Drugs to Avoid: Aspirin, sulfonamides, antimalarials (e.g., primaquine)
- Management: Avoid triggers; routine care usually okay
What are the oral findings, drugs to avoid and dental management for Sickle Cell Anemia?
- Oral Findings: Pale mucosa, jaundice, pulpal necrosis, osteomyelitis, delayed tooth eruption
- Drugs to Avoid: Strong narcotics, high-dose aspirin, vasoconstrictors if possible
- Management: MD consult, short visits, prophylactic antibiotics, avoid infection, sedation (e.g., Valium)
What are the oral findings, drugs to avoid and dental management for Acute Myelogenous Leukemia (AML)?
- Oral Findings: Gingival enlargement, bleeding, chloromas (granulocytic sarcomas)
- Drugs to Avoid: None specified
- Management: Chlorhexidine, plaque control, chemo improves symptoms
What are the oral findings, drugs to avoid and dental management for Chronic Myelogenous Leukemia (CML)?
- Oral Findings: Pallor, oral infections
- Drugs to Avoid: None specified
- Management: Monitor infections, oral hygiene, oncology follow-up
What are the oral findings, drugs to avoid and dental management for Chronic Lymphocytic Leukemia (CLL)?
- Oral Findings: Pallor, oral infections, lymphadenopathy
- Drugs to Avoid: None specified
- Management: Infection monitoring, oral support during immunosuppression
What are the oral findings, drugs to avoid and dental management for Hodgkin Lymphoma?
- Oral Findings: Painless, firm, nontender lymph nodes; cervical adenopathy, oral tumors
- Drugs to Avoid: None specified
- Management: Biopsy and oncology referral
What are the oral findings, drugs to avoid and dental management for Non-Hodgkin Lymphoma?
- Oral Findings: Cervical lymphadenopathy, oral or extranodal tumors
- Drugs to Avoid: None specified
- Management: Biopsy and oncology referral
What are the oral findings, drugs to avoid and dental management for Intraoral Lymphoma?
- Oral Findings: Waldeyer’s ring swelling, ulcers, paresthesia, mobile teeth
- Drugs to Avoid: None specified
- Management: Prompt biopsy (needle/incisional/excisional)
What are the oral findings, drugs to avoid and dental management for Burkitt Lymphoma?
- Oral Findings: Rapid jaw tumor, pain, paresthesia, osteolytic lesions
- Drugs to Avoid: None specified
- Management: Urgent biopsy and oncology referral
What are the oral findings, drugs to avoid and dental management for Multiple Myeloma?
- Oral Findings: Jaw pain, amyloid deposits, “punched-out” bone lesions
- Drugs to Avoid: Bisphosphonates, RANKL inhibitors (risk of MRONJ)
- Management: Avoid invasive surgery, manage MRONJ risk
What are the oral findings, drugs to avoid and dental management for Chemotherapy Patients (General)?
- Oral Findings: Mucositis, neutropenia, bleeding, GVHD, altered growth
- Drugs to Avoid: Alcohol-based mouthwash (for mucositis)
- Management: Mucositis, antiseptic rinses; Neutropenia: no invasive procedures, prophylaxis; Monitor infections, bleeding, and development
What are the oral findings, drugs to avoid and dental management for chemotherapy patients with Neutropenia and Infection?
- Oral Findings: Ulcers
- Drugs to Avoid: None specified
- Management: Culture exudate, treat with amoxicillin–clavulanic acid if bacterial
What are the oral findings, drugs to avoid and dental management for chemotherapy patients with Opportunistic Infections (Fungal)?
- Oral Findings: Candidiasis, unusual fungi (aspergillus, mucor, etc.)
- Drugs to Avoid: None specified
- Management: Systemic antifungals (e.g., voriconazole)
What are the oral findings, drugs to avoid and dental management for chemotherapy patients with HSV Infections?
- Oral Findings: Large, slow-healing herpetic lesions
- Drugs to Avoid: None specified
- Management: Prophylaxis with acyclovir, valacyclovir, or famciclovir
What are the oral findings, drugs to avoid and dental management for chemotherapy patients with Thrombocytopenia?
- Oral Findings: Gingival bleeding, boggy gingiva
- Drugs to Avoid: None specified
- Management: Gelatin sponge with thrombin, antifibrinolytic rinse
What are the oral findings, drugs to avoid and dental management for chemotherapy patients with Graft-Versus-Host Disease (GVHD)?
- Oral Findings: Mucosal ulcers, lichenoid changes
- Drugs to Avoid: None specified
- Management: Mimics Sjögren’s and scleroderma; supportive care
What are the oral findings, drugs to avoid and dental management for chemotherapy patients with Growth & Development Issues?
- Oral Findings: Micrognathia, retrognathia, malocclusion
- Drugs to Avoid: None specified
- Management: Monitor for root shortening, calcification issues, microdontia, etc.
What are the oral findings, drugs to avoid and dental management for Hemophilia A?
- Oral Findings: Spontaneous/post-surgical bleeding, hematomas
- Drugs to Avoid: ASA, NSAIDs
- Management: DDAVP, antifibrinolytics (EACA), coordinate with hematologist
What are the oral findings, drugs to avoid and dental management for von Willebrand Disease?
- Oral Findings: Similar to hemophilia
- Drugs to Avoid: ASA, NSAIDs
- Management: Amicar, DDAVP, Factor VIII with vWF, splints
What is the dental management for Warfarin (INR ranges)?
- Drugs to Avoid: ASA, NSAIDs
Management: - 2.0–3.0: no dose alteration; used for
conditions with moderate clot risk
tissue valves, atrial fibrillation, DVT,
PE - 2.5–3.5: dose altered for OS; used
for high clot risk, like mechanical
valves
