446 - Management of Dental Trauma in Sickle Cell Anemia

Sickle cell disease SCD is an inherited blood disorder in the United States, affecting over 100,000 Americans, according to the CDC. This disorder results from a mutation in the hemoglobin beta chain, where glutamic acid is replaced by valine, forming hemoglobin S (Hb-S), which causes red blood cells to become stiff and sickle-shaped.   Oral manifestations in sickle cell anemia include increased susceptibility to infections, dental caries, and the risk of vaso-occlusive crisis triggered by infections, dehydration, stress, or extreme temperatures.  

Case report: A 22-month-old male patient with medical history significant for Sickle cell anemia presented to University Hospital - Peds ED with tooth fractures after fall in shopping cart. Clinical exam revealed tooth #E fractured with multiple loose fragments. This case report will explore the dental management of dental trauma in Sickle Cell Anemia, emphasizing the clinical manifestations of the disorder and alerting clinicians to its implications in dental care. 


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