Dental care in patients with antiphospholipid syndrome: two case reports
Mesquita, K.Cestaro.; Teófilo, C.Rodrigues.; Perdigão, Jão.Paulo.Veloso.; Sousa, Fício.Bitu.; Alves, A.Paula.Negreiros.Nunes.; de Negreiros, W.Araújo.; Mota, Mário.Rogério.Lima.
General Dentistry 65(1): E9
2017
ISSN/ISBN: 0363-6771 PMID: 28068274 Document Number: 691928
Antiphospholipid syndrome (APS) is a prothrombotic autoimmune disease that may be classified as primary or secondary. Treatment consists of oral anticoagulant, antiplatelet, and/or immunosuppressant drugs. This report describes the dental treatment of 2 women with APS and multiple dental concerns, including periodontal disease, caries, and missing teeth. The invasive dental procedures were performed in an outpatient setting with hematologic monitoring and use of local hemostatic measures. Neither interruption of anticoagulant medications nor administration of blood products was necessary. All of the procedures were performed without complications. To date, no recommendations for the dental care of patients with APS have been established, demonstrating a need to investigate the risks for bleeding and infection, among other concerns, during dental treatment of these patients.