Post Dental Procedural Bleeding in Hemophilia A Patients: Siriraj Experience

Authors

  • แขขวัญ มณีไพโรจน์
  • ธีระ ฤชุตระกูล

DOI:

https://doi.org/10.14456/jmu.2015.5

Keywords:

Severity of the disease, Dental procedures, Coordination between dentist and hematologist, Post-operative bleeding

Abstract

          OBJECTIVE : to establish a protocol for the management of pre-dental treatment and post-dental treatment bleeding in Siriraj Hospital’s hemophilia A patients.

          MATERIAL AND METHOD : This study is a retrospective chart review in hemophilia A patients

who have been treated at the Division of Hematology, Department of Medicine and underwent dental treatments at the Dental department both at Siriraj Hospital. The period of study is from 1st January, 2008 to 31th  July, 2012.

          RESULT : There were 6 episodes of post-operative bleeding from 64 procedures performed(9.2%).

          CONCLUSION : Correlation between plasma factor VIII level and incidence of post-operative

bleeding should depend on difficulty of the dental procedures, patient’s oral hygiene condition, dental health as well as the numbers of extracted teeth.

References

1. Gomez-Moreno G, Cutando-Soriano A, Arana C, Scully C. Hereditary blood coagulation disorders: management and dental treatment. J Dent Res. 2005; 84: 978-85.

2. Jover-Cervero A, Povede Roda R, Baqan JV, Jimenez Soriano Y. Dental treatment of patients with coagulation factor alterations: an update. Med Oral Patol Oral Cir Bucal. 2007; 12: 380-7.

3. George J. Dental management of person with hemophilia and other haemostatic disorders.Hand book for dental surgeons 2011 : 11 – 14

4. Bajkin B., Rajic N., Vujkove s. Dental extraction in a hemophilia patient without factor replacement therapy : a case report. J Oral Maxillofac Surg 2012; 70 : 2276 – 7

5. Harrington B. Primary dental care of patients with hemophilia. Treatment of hemophilia 2004; 3: 2.

6. Carter G, Goss AN, Lloyd J, Tocchetti R. Current concepts of the management of dental extractions for patients taking warfarin. Aust Dent J 2003; 48: 89-96.

7. Scully C, Cawson RA. Medical problems in dentistry. 4th ed. Oxford: Butterworth- Heinemann, 1998: 99.

8. Lee AP, Boyle CA, Savidge GF, Fiske J. effectiveness in controlling haemorrhage after dental scaling in people with haemophilia by using tranexamic acid mouthwash. Br Dent J. 2005; 198: 33-8

9. Franchini M, Rossetti G, Tagliferri A, Pattacini C, Pozzoli D, Lorenz C, Del Dot L,Ugolotti G, Dell’aringa C, Gandini G. Dental procedures in adult patients with hereditary bleeding disorders: 10 years experience in three Italian HemophiliaCenters. Haemophilia 2005; 11: 504-9.

10. Brewer AK, Roebuck EM, Donachie M, Hazard A, Gordon K, Fung D, Clarkson J. The dental management of adult patients with haemophilia and other congenital bleeding disorders.Haemophilia 2003 Nov; 9(6): 673 – 7.

11. Federici AB, Sacco R, Stabile F, Carpenedo M, Zingaro E, Mannucci PM. Optimising local therapy during oral surgery in patients with von Willebrand’s disease. Heamophiloa 2000 Mar; 6(2): 71 – 7.

12. Zanon E, Martinelli F, Bacci C, Zerbinati P, Girolami A. Proposal of standard approach to dental extraction in haemophilia patients. A case-control study with good results. Haemophilia 2000; 6: 533-6.

13. Piot B, Sigaud-Fiks M, Huet P, Fressinaud E, Trossaert M, Mercier J. Management of dental extractions in patients with bleeding disorder. Oral surg Oral med Oral pathol Oral Radiol Endod 2002; 93: 247-50.

14. Frachon X, Pommereuil M, Berthier AM, Lejeune S, Hourdin – Eude S, Quero J, Meziere X, De Mello G, Garnier J. Management options for dental extraction in hemophiliacs : A study of 55 extractions (2000 – 2002) Oral surg Oral med Oral Radiol Endod 2005 Mar; 99(3) : 207 – 5.

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Published

2015-06-29

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Section

Research Articles