Comprehensive Dental Management of Children With Henoch-Schonlein Purpura-Vera Yulina
Comprehensive Dental Management of Children With Henoch-Schonlein Purpura-Vera Yulina
Comprehensive Dental Management of Children With Henoch-Schonlein Purpura-Vera Yulina
Mana rehensiv
geme e Den
with H nt of tal
enoch Childre
-Scho n
Purpu nlein
ra
Prof. D Vera Y
R . drg. W u lina
illyanti
Soewo
ndo, S
p. KGA
(K)
Henöch-Schonlein Purpura (HSP)
Sample 2
Poor OH some
systemic /
90% < 10 yo ( with a autoimmune
mean of age is 6 yo) diseases
Vasculitis
HSP
Most common in
chidren SHCN
10-20/100.000 / year high risk
of oral
Upper respiratory tract infection
infection,medication,
vactination, malignancy, &
odontogenic infection
UK
20.4/100.000
ASIA
24 / 100.000
4
John Lukas Schönlein Edward Henoch (1837)
Relationship between 4 children with
arthralgia-purpura skin abdominal pain skin
lesions peliosis vasculitis, arthritis &
rheumatica renal involment
William Heberdeen
(1801)
5 yo boy (abdominal pain,
gag, arthralgia, rash
purpura & hematuria)
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
Clinical features
Central nerve
system involment
24 hours makula
red purpura lesions
Symmetrical purple
Macular rash (parts yellowish-brown
of the skin that are disappear new
Arthralgia & lesion
arthritis 1-2 d affected by
skin lesions (knee, pressure)
Upper respiratory
tract infection (mild ankle, , wrist,
fever + headache) 1- elbows, joints,
3w fingers)
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
Systemic Diseases Vs Odontogenic Infection
Dermatological
Diseases
Odontogenic
Infection
Autoimmune
Diseases
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
Igawa, 2011
an oral focal infection could be a precipitating factor for adult
HSP, as improvements in the skin lesions were observed after
patients being treated for the oral infection
Inoue, 2008
dental caries (70%) along with apical periodontitis (53%) was
found in HSP cases and conclude that early and extensive
why does HSP often
treatment for these lesions may prevent the complication of HSP
occur in children?
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
Inoue CN, Periodontal and ENT therapy in the treatment of pediatric henoch-schönlein purpura and IgA nephropathy. Adv Otorhinolaryngol. 2011;72:53–6
Odontogenic
infection as
the potential
to trigger HSP
HSP/
Odontogenic
infection Nephritis
HSP
Active infectious
Comprehensive
foci must be
dental
exhaustively
management
eradicated
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
Name : Arfan Ziqri Sastrawijaya
Medical record : 2018-002634
Date of birth/age : March 29, 2013/ 5 y.o
Sex : Male
Class : TK B
Adress : Komp Bumi Panyileukan citra AC 1/8
Parent’s name : Muhammad Willi
Hp : 081222460552
A 5-year-old boy was referred to RSGM Unpad with chief complaints severe dental caries. 1 year ago
the patient was hospitalized with a diagnosis of Henöch-Schonlein Purpura (HSP). The patient was
treated by a specialist pediatric allergy-immunology division. Patients were referred for dental and oral
care.
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
Skin lesions begin with small patches like insect bites
enlarge (purple, irregular)
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
Renal involment
Nefritis HSP
urinalis
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
High Netrofil segmen level shift to the left
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
No Tooth The Diagnosis Treatment planning
1 Maxillary and Mandibular Generalized chronic gingivitis Scalling
2 55 Pulp necrosis Non vital pulpectomy stainless steel
crown
3 52,51, & 61 Reversible pulpitis Composite strip crown restoration
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
Dental Management
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
HSP can appear as a consequence of the dental procedure
Children with HSPG are highly susceptible to oral diseases, particularly to(70% dental caries & 5% apical
periodontitis)
Children with HSP, especially Glomerulonephritis HSP comprehensive dental treatment to avoid
dissemination of the infection to other internal organs systemic serious sequelae, and thus worsening
the prognosis of the disease
Comprehensive dental treatment (Home care, varnish fluoride, dietary counseling, pit and fissure sealants,
periodically visiting dentist)
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
Conclusion
A pediatric dentist must be knowledgeable and aware of HSP and the
importance of maintaining the overall oral health status of their
patients to prevent additional systemic complications
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina
DIES FORUM UNPAD 2019- Comprehensive Dental Management of Children with Henoch Schonlein Purpura: A Case Report- Vera Yulina