Dental care to a patient with sickle-cell anemia
1. Patients with sickle-cell disease should not receive dental treatment during a crisis, except for the relief of dental pain and treatment of acute dental infections. Dental infections should be treated aggressively; if facial cellulitis develops, the patient should be admitted to the hospital for treatment.
2. The patient’s physician should be consulted about the patient’s cardiovascular status. Myocardial damage secondary to infarctions and iron deposits is common.
3. Patients with sickle-cell anemia are at increased risk for bacterial infections and should receive prophylactic antibiotics before any dental procedure that may cause a transient bacteremia. The prophylactic antibiotic regimen used for the prevention of endocarditis should be followed. After a surgical procedure, antibiotics (500 mg penicillin VK 4 times/day or erythromycin, 250 mg 4 times/day, for penicillin-allergic patients) should be continued for 7—10 days postoperatively.