Introduction:Henoch-Schonlein purpura is the most common childhood vaskulitis, affecting 10-20 children per 100.000 per year. More than 90% of patients are under 10 years old with a mean age of 6 years. It is characterized by non-thrombocytopenic purpura, arthritis, abdominal pain and gastrointestinal bleeding, and nephritis leading to renal failure in children. The most common factor that triggers this disease is bacterial invasion, especially the infection foci that is often found in the children oral cavity. Therefore, a comprehensive oral and dental management have to carried out. Purpose: The purpose of this article is to make a review of dental and oral care in children with HSP. Reviews: focal infection in the child's oral cavity can be a trigger of HSP. Pathogenesis of HSP is associated with complex diseases that are contributed by genetic factors and environmental triggers, one of which is odontogenic infection. A lesion could contain a thousand billion colonies of both aerobic and anaerobic bacteria. Various inflammatory cells in the form of cytokines are produced by cellular components of periapical lesions that activate immune reactions, therefore odontogenic infections, especially chronic apical periodontitis, have the potential to trigger HSP. Management of focal odontogenic infections could reduce the incidence of HSP especially HSP with kidney involvement. Conclusion: Comprehensive care needs to be taken to prevent recurrence of the disease and to limit the complications.
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