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Kostmann syndrome: oral aspects and 10‐year follow‐up case report
Abstract
Kostmann syndrome (KS) is an autosomal recessive disorder characterized by a low neutrophil count and recurrent bacterial infections, including periodontal disease. This report describes the case of a 5-year-old female KS patient treated with regular infusions of granulocyte stimulating factor (granulokine), with primary complaint of gingival bleeding and tooth mobility, and followed up for 10 years. Conventional periodontal treatment and some extractions were performed, after neutrophil function tests using flow cytometry. The invasive procedures were carried out at an outpatient clinic under antibiotic prophylaxis due to a low neutrophil count and an impaired neutrophil function presented. During the 10-year follow-up period, despite episodes of recurrent gingivitis and periodontitis the present report describes the positive outcome of dental treatment of a patient with KS.
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“The spectrum ranges from reporting on the achievement of dental treatment without further monitoring to less frequent reports with more than a decade of monitoring (e.g., Bergendal et al. 2015; Fernandes et al. 2016; James and Roudsari 2019).”
From Dental Management of Genetic Dental Disorders: A Critical Review (2025) · cites this paper as Fernandes et al. 2016
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Dental Management of Genetic Dental Disorders: A Critical Review
Dujic, H., Bücher, K., Schüler, I. M., Schmidt, P., Hertel, S., Timpel, J., Jablonski-Momeni, A., Schilke, R., Kapferer-Seebacher, I., Zschocke, J., et al. (2025) · Journal of Dental Research · doi:10.1177/00220345241305330 · Cited by 9
“The spectrum ranges from reporting on the achievement of dental treatment without further monitoring to less frequent reports with more than a decade of monitoring (e.g., Bergendal et al. 2015; Fernandes et al. 2016; James and Roudsari 2019).”
Metadata
- Authors
- Fernandes, K. S., da Silva Santos, P. S., de Rezende, N. P. M., & Gallottini, M.
- Affiliations
- Universidade de São Paulo (BR)
- Assistant Professor Department of Stomatology, Bauru School of Dentistry, University of São Paulo São Paulo, Brazil
- Centro Universitário Herminio Ometto de Araras (BR)
- Corresponding author
- Fernandes, Karin Sá
- Venue
- Special Care in Dentistry
- Publisher
- Wiley
- Published
- 2016-08-03
- Volume
- 36
- Issue
- 6
- Pages
- 339-344
- ISSN
- 0275-1879 (ISSN-L)
- 1754-4505
- OpenAlex
- W2513727899
- Cited by
- 8
- References
- 1
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 1 · 2021: 2 · 2020: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Special Care in Dentistry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Blood disorders and treatments
- Life Sciences › Immunology and Microbiology › Immunology › Immunodeficiency and Autoimmune Disorders
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Keywords
- Kostmann syndrome, neutropenia, periodontitis, gingivitis, gingival bleeding, tooth mobility, granulocyte colony-stimulating factor, antibiotic prophylaxis, neutrophil function, dental treatment, pediatric patients, long-term follow-up
- MeSH terms
- Congenital Bone Marrow Failure Syndromes, Child, Preschool, Female, Humans, Mouth Diseases, Neutropenia, Dental Care for Chronically Ill, Dental Care for Children
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- The paper
- Fernandes, K. S., da Silva Santos, P. S., de Rezende, N. P. M., & Gallottini, M. (2016). Kostmann syndrome: oral aspects and 10‐year follow‐up case report. Special Care in Dentistry. https://doi.org/10.1111/scd.12192