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Year : 2017  |  Volume : 7  |  Issue : 1  |  Page : 30-34

Clinical guidelines for periodontal management of idiopathic thrombocytopenic purpura: Current considerations

1 Department of Periodontics and Implantology, Divya Jyoti College of Dental Sciences and Research, Sahibabad, Ghaziabad, Uttar Pradesh, India
2 Department of Periodontics and Implantology, Inderprastha Dental College, Sahibabad, Ghaziabad, Uttar Pradesh, India
3 Department of Periodontics and Community Dentistry, Dr. Ziauddin Ahmad Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India

Correspondence Address:
Neha Bansal
K-16, ADA Bank Colony, Pala Road, Aligarh - 202 002, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijohs.ijohs_7_17

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Idiopathic thrombocytopenic purpura is an acquired platelet disorder reported to have spontaneous hemorrhagic gingiva as one of the earliest manifestations, sometimes as a presenting symptom. It is very important for general dentists to be aware of such conditions as prolonged bleeding may occur as a life-threatening complication during and posttreatment of such patients. They must have a basic insight of the oral findings of thrombocytopenia and should arrange and prepare the necessary assistance in advance. A diligent cooperation among patient, hematologist and dentist are crucial in the management of bleeding disorder patients. This paper provides an overview of thrombocytopenia and current recommendations for its periodontal management. We concluded that thrombocytopenia is not an absolute contraindication for dental procedures; however, the course of treatment should be commanded by the clinical manifestations and the platelet count.

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