2023 Volume 47 Issue 2 Pages 113-118
Fanconi Anemia （FA） is a congenital bone marrow failure syndrome that causes pancytopenia. In dental procedures, it may be necessary to consider blood transfusion based on the prediction of the amount of bleeding. In addition, the frequency of leukemia and solid tumors is high, and this tendency is particularly strong in the oral cavity. Therefore, it is important to regularly scrutinize the presence or absence of oral tumors. In addition, since it is highly sensitive to radiation, it is necessary to avoid X-ray imaging as much as possible. In addition, it is thought that immunity is also reduced by leukopenia.
This time we experienced the evulsion of a deciduous tooth of an FA boy. Age was 7 years and the platelet count was 64,000/µL. Because the root of the tooth had been physiologically resorbed with the eruption of the subsequent permanent tooth, bleeding after evulsion was considered to be minimal. Bleeding was actually minimal, and hemostasis was achieved after 5 minutes of gauze compression. In addition, we were able to prevent infection by taking antibacterial drugs internally before and after the procedure under the instruction of the attending physician.
