A Case of Invasive Treatment in Idiopathic Thrombocytopenic Purpura during Pregnancy

Abstract

Idiopathic thrombocytopenic purpura (ITP) is a blood disease in which the platelet count falls below 100,000/μl. When pregnancy is complicated by ITP, the reduced number of platelets increases the risk of bleeding during delivery. Here we report a successful tooth extraction procedure performed for a pregnant ITP patient.
The patient was a 34-year-old woman. The initial dental examination was in June 20XX at this clinic, where she was referred for treatment of tooth mobility.
Her medical history included the ITP diagnosis at age 33. Radiographic findings were a fracture line in the root of the left maxillary second premolar with root resorption and alveolar bone resorption. From these findings, conservation was judged to be difficult and extraction was indicated. The patient had maintained a platelet count of 60,000/μl, and the absence of a coagulation disorder was confirmed, so the extraction proceeded. The left maxillary second premolar was extracted. An absorbable hemostat was placed in the socket, which was then sutured. By the next day, bleeding had stopped, and the patient made a satisfactory recovery.