A Patient Presenting for Dental Extraction After Completion of Chemotherapy

Dent Clin North Am. 2023 Oct;67(4):667-670. doi: 10.1016/j.cden.2023.05.020. Epub 2023 Jun 18.

Abstract

Acute myeloid leukemia (AML) presents several oral manifestations, including gingival hyperplasia, pale mucosa, poor wound healing, petechiae, ecchymoses, candidiasis, recurrent herpes infection, and ulcerations in the oral mucosa. Chemotherapy is the first-line treatment of AML. Common dental complications of chemotherapy include mucositis, infections secondary to profound bone marrow aplasia, and gingival bleeding. When treating patients with AML, preparing a comprehensive treatment plan is essential to help minimize their risks for developing these oral complications.

Keywords: Acute granulocytic leukemia; Acute myeloid leukemia; Chemotherapy; Dental abscess; Graft-versus-host disease; Hematopoetic stem-cell transplant; Oral manifestations; Radiation therapy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Humans
  • Mouth Mucosa*
  • Tooth Extraction* / adverse effects