Necrose pulpar em pacientes com anemia falciforme: uma revisão de literatura

Abstract

Sickle cell disease is considered the most prevalent genetic disease in Brazil, it consists of an alteration in chromosome 11 in the hemoglobin protein gene, which provides a series of thrombolytic events and several systemic complications as a consequence. Thus, the objective of this work is to demonstrate through a literature review how the vasocclusive events resulting from sickle cell anemia can be related to the necrosis of the pulp tissue. The literature review was performed by searching the Scielo, PubMed, LILACS and BVS databases. From these, the most relevant information, cited and validated by the literature, were selected for this study. Vasoocclusive events are considered one of the main triggering factors for disease manifestations in the body, they can affect the bones and tissues present in the oral cavity, through the interruption of the blood supply. Considering the great vascularization of the pulp tissue, made up of numerous blood vessels, it is possible that it is directly affected by the reduction or blockage of blood flow, which may lead to tissue calcification or even necrosis. Recognizing the possibility of pulp necrosis occurring due to the condition of the body, it is essential that the dental surgeon identify the condition early, know the limitations, systemic and emotional conditions of the patient in order to provide safe, well-planned care and avoid serious complications.