Dental Implant in a Young with Sickle Cell Disease: A Case Report

Objective: To report the case of a patient with Sickle cell disease (SCD) subjected to immediate load implant surgery (I) with a history of dental trauma (DT).

Case Report: A 15-year-old male patient attended the CVMT 3 years after DT, reporting aesthetic complaint and discomfort in the tooth 21 (E21). In anamnesis, reported that the adolescent had sickle cell anemia (SCA). Patient regular use of medication and follows up with a hematologist. Clinical and radiographic examination, observed a complete permanent dentition, biofilm control, absence of caries and E21 showed tooth remnant, with a corono-radicular fracture and extensive internal resorption. The initial approach was endodontic treatment of E21. After medical release, the extraction was performed, followed by installation of the I with immediate loading. A successful oral rehabilitation with osseiointegration after DT history. The continuity of dental care becomes to keep them free of problems that affect the oral cavity as well as improve their self-esteem.

Discussion: SCA presenting the most severe manifestations of SCD characterized by mutation of hemoglobin. Among the most common oral signs and symptoms are asymptomatic pulp necrosis, neuropathy, and mental nerve mandibular osteomyelitis caused by seizures that may also result in acute blockage of blood vessels in organ pulp. The advantage of the proposed treatment was the bone support maintenance for placing the dental implant and the prosthetic component to be monitored until the greatest age of the patient.

Conclusion: The occurrence of DT in patients with SCA can be a complicating factor for a good prognosis. DT can be minimized through preventive measures such as the use of mouth guards.