Oral Manifestations and Dental Changes in Patientes with Sickle Cell Anemia: an Update

Authors

  • Letícia Dantas Grossi Master student, Department of Surgery, Stomatology, Pathology and Radiology of the Faculty of Dentistry at Bauru, FOB USP Universidade de São Paulo 17012-901 Bauru – SP, Brazil https://orcid.org/0000-0002-9978-7792
  • Mariel Ruivo Biancardi Ph.D student, Department of Surgery, Stomatology, Pathology and Radiology of the Faculty of Dentistry at Bauru, FOB USP Universidade de São Paulo 17012-901 Bauru – SP, Brazil
  • Viviane Almeida Sarmento Full, Professor, Departament Diagnostic Therapeutic Support, Federal School of Dentistry at Salvador, UFBA - Universidade Federal da Bahia 40110-909 Salvador – BA, Brazil https://orcid.org/0000-0003-4403-3659
  • Cassia Maria Fischer Rubira Associate Professor, Department of Surgery, Stomatology, Pathology and Radiology of the Faculty of Dentistry at Bauru, FOB USP Universidade de São Paulo 17012-901 Bauru – SP, Brazil https://orcid.org/0000-0003-2119-1144
  • Izabel Regina Fischer Full Professor, Department of Surgery, Stomatology, Pathology and Radiology of the Faculty of Dentistry at Bauru, FOB USP Universidade de São Paulo 17012-901 Bauru – SP, Brazil

DOI:

https://doi.org/10.21270/archi.v12i3.5720

Keywords:

Anemia, Sickle Cell, Oral Manifestations, Anemia, Hemolytic

Abstract

Sickle cell disease is an autosomal hereditary hemoglobinopathy in which a mutation in the beta chain of hemoglobin occurs. This mutation leads to a change in normal hemoglobin HbA, into hemoglobin C (HbC) or hemoglobin D (HbD) which implies tissue deoxygenation and sickling of red blood cells that determines their premature destruction and hemolytic anemia. The clinical characteristics of the disease vary in terms of pain episodes resulting from the vessel occlusion mechanism, organ damage and infections due to the severe condition of immunosuppression in these patients. Dental complications are of great relevance considering that these patients may present different kinds of oral manifestations and a dental infection complicated by a sickle cell crisis significantly increases the probability of hospital admission.

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References

Lonergan GJ, Cline DB, Abbondanzo SL. Sickle cell anemia. Radiographics. 2001;21(4):971-94

Saito N, Watanabe M, Liao J, Flower EN, Nadgir RN, Steinberg MH et al. Clinical and radiologic findings of inner ear involvement in sickle cell disease. AJNR Am J Neuroradiol. 2011;32(11):2160-4.

Mulimani P, Ballas SK, Abas AB, Karanth L. Treatment of dental complications in sickle cell disease. Cochrane Database Syst Rev. 2016 Apr 22;4:CD011633

Gusmini MADS, De Sa AC, Feng C, Arany S. Predictors of dental complications post-dental treatment in patients with sickle cell disease. Clin Exp Dent Res. 2021;7(1):11-9

Santos HLRD, Barbosa IDS, de Oliveira TFL, Sarmento VA, Trindade SC. Evaluation of the maxillomandibular positioning in subjects with sickle-cell disease through 2- and 3-dimensional cephalometric analyses: A retrospective study. Medicine (Baltimore). 2018;97(25):e11052.

Amoah KG, Newman-Nartey M, Ekem I. The Orthodontic Management of an Adult with Sickle Cell Disease. Ghana Med J. 2015;49(3):214-8.

Basyouni A, Almasoud NN, Al-Khalifa KS, Al-Jandan BA, Al Sulaiman OA, Nazir MA. Malocclusion and Craniofacial Characteristics in Saudi Adolescents with Sickle Cell Disease. Saudi J Med Med Sci. 2018;6(3):149-54.

Lopes CMI, Cavalcanti MC, Alves e Luna AC, Marques KMG, Rodrigues MJ, DE Menezes VA. Enamel defects and tooth eruption disturbances in children with sickle cell anemia. Braz Oral Res. 2018;32:e87.

Nifosi G, Nifosi AF, Nifosi L. Odontostomatological manifestations in sickle cell disease: A systematic review. Dent Med Probl. 2017;54(3):273-78

Chekroun M, Chérifi H, Fournier B, Gaultier F, Sitbon IY, Ferré FC et al. Oral manifestations of sickle cell disease. Br Dent J. 2019;226(1): 27-31.

Kalbassi S, Younesi MR, Asgary V. Comparative evaluation of oral and dento-maxillofacial manifestation of patients with sickle cell diseases and beta thalassemia major. Hematology. 2018;23(6):373-78.

Ramsay Z, Gabbadon CH, Asnani M. Numb chin syndrome in sickle cell disease: a case series of Jamaican patients. Ann Hematol. 2021;100(4):913-19.

FONSECA, M. S.; HOSNI, J. S.; SILVA, L. C. P.; CRUZ, R. A. Protocolo de atendimento odontológico para paciente com anemia falciforme. Arqbras odontol. 2008;4(2):104-12.

Costa CPS, Thomaz ÉBAF, Ribeiro CCC, Souza SFC. Biological factors associating pulp necrosis and sickle cell anemia. Oral Dis. 2020;26(7):1558-65.

Neves FS, Passos CP, Oliveira-Santos C, Cangussu MC, Campos PS, Nascimento RJ, Crusoé-Rebello I, Campos MI. Correlation between maxillofacial radiographic features and systemic severity as sickle cell disease severity predictor. Clin Oral Investig. 2012;16(3):827-33.

Lobo C. Doença falciforme – um grave problema de saúde pública mundial Rev. Bras. Hematol. Hemoter. 2010;32(4):280-81.

Soares MR, Machado WC, Henrique MN, Reskalla HN, Chaves MG. Anemia Falciforme: Manifestações bucais e multidisciplinaridade: relato de caso clínico.HU Revista.2013;39:45-9.

Alves AM, Queiroz MCA, Arruda MT, Araújo PIC. Doença Falciforme: Conhecer para cuidar. Brasília: Ministério da Saúde;2005.

Figueira, DS. Manifestações bucais da anemia falciforme: abordagem ao paciente pelo cirurgião-dentista. [monografia]. Minas Gerais: Universidade Federal de Minas Gerais; 2011.

Fernandes CF. Manifestações bucais em pacientes pediátricos com diagnóstico de anemia falciforme: revisão de literatura. [tese]. Governador Mangabeira: Faculdade Maria Zilma; 2020.

Brandão CF, Oliveira VMB, Santos ARRM, da Silva TMM, Vilella VQC, Simas GGPP et al. Association between sickle cell disease and the oral health condition of children and adolescentes. BMC Oral Health. 2018;18:169.

Yue H, Xu X, Liu Q, Li X, Jiang W, Hu B. Association between sickle cell disease and dental caries: a systematic review and meta-analysis. Hematology.2020;25:309-19.

Passos CP, Santos PR, Aguiar MC, Cangussu MC, Toralles MB, da Silva MC, et al. Sickle cell disease does not predispose to caries or periodontal disease. Spec Care Dentist.2012;32:55-60.

Fernandes ML, Kawachi I, Corrêa-Faria P, Pattusi MP, Paiva SM, Pordeus IA. Caries prevalence and impact on oral health-related quality of life in children with sickle cell disease: cross-sectional study. BMC Oral Health. 2015;15:68.

Rodrigues MJ, Menezes VA, Luna AC. Saúde Bucal em portadores da anemia falciforme. Rev Gaúch Odontol. 2013;61.

Kawar N, Alrayyes S, Aljewari H. Sickle cell disease: An overview of orofacial and dental manifestations. Dis Mon. 2018;64(6):290-95.

Stanley AC, Christian JM. Sickle cell disease and perioperative considerations: review and retrospective report. J Oral Maxillofac Surg. 2013;71(6):1027-33.

Little JW, Falace DA, Miller CS, Rhodus NL. Dental Management of the Medically Compromised Patient. St Louis: Mosby Elsevier; 2008.

Goldberg MA, Brugnara C, Dover GJ, Schapira L, Charache S, Bunn HF. Treatment of Sickle Cell Anemia with Hydroxyurea and Erythropoietin. N Engl J Med 1990; 323:366-72

Published

2023-03-27

How to Cite

Grossi, L. D., Biancardi, M. R., Sarmento, V. A., Rubira, C. M. F., & Izabel Regina Fischer. (2023). Oral Manifestations and Dental Changes in Patientes with Sickle Cell Anemia: an Update. ARCHIVES OF HEALTH INVESTIGATION, 12(3), 383–387. https://doi.org/10.21270/archi.v12i3.5720

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Section

Original Articles