An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (Under Process) , 

 ISSN 2394-3211

Impact Factor: 4.897

 ICV - 79.57



*Dr. SVSG. Nirmala M.D.S., Dr. M.S. Minor Babu M.D.S. and Dr. Saikrishna Degala M.D.S.


Thalassemia is a blood disorder, characterised by defective haemoglobin production which is associated with splenomegaly and bone changes and effects early in life. Therefore, it is also known as coole‘s anaemia. Clinical manifestations are mucosa is pale, atrophic glossitis, chipmunk face appearance, nasal bridge is depressed, maxillary sinus is small, teeth are discoloured, spiky shaped short crowns and roots, macroglossia due to flared incisors, increased overjet and multiple spacing between the teeth causing malocclusion, taurodontism, absence of inferior alveolar canal, cortex of the mandible is thin, obliterated, sinus obliterated. Dental care should given as a team approach. Prophylactic antibiotics should be given prophylactically especially post-splenectomy. Avoid aspirin, prefer acetaminophen, oral chelators commonly causes hepatitis, neutropenia and agranulocytosis. Orthodontic treatment should be considered early to reduce the effects on a craniofacial skeleton and apply low forces due to thin cortices and follow short interval between the appointments. Avoid treatment during a crisis and only if the emergency occurs treatment should attempt. Avoid treatment under general anaesthesia. However, if necessary it should be carried out with the haematologist. Oral surgical procedures, periodontal procedures, pericoronitis and abscess, are to be undertaken under antibiotic prophylaxis. Apart from above this article discuss etiology clinical features and management of Children with Thalassemia.

Keywords: children, dental care, oral health, Thalassemia facies.

[Full Text Article]



  • New Issue Published

    Its Our pleasure to inform you that, EJPMR 1 March 2019 Issue has been Published, Kindly check it on


    MARCH 2019 Issue has been successfully launched on 1 March 2019

  • EJPMR New Impact Factor

    Its our Pleasure to Inform you that EJPMR Impact Factor has been increased from 4.161 to 4.897 due to high quality Publication at International Level

  • Index Copernicus Value

    EJPMR Received Index Copernicus Value 79.57, due to High Quality Publication in EJPMR at International Level

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (Under Process)