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Management of dental extraction in patients with Haemophilia A and B: a report of 58 extractions

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Management of dental extraction in patients with Haemophilia A and B: a report of 58 extractions

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dc.contributor.author Peisker, Andre es
dc.contributor.author Raschke, Gregor-Franziskus es
dc.contributor.author Schultze Mosgau, Stefan es
dc.date.accessioned 2014-07-04T07:53:32Z
dc.date.available 2014-07-04T07:53:32Z
dc.date.issued 2014 es
dc.identifier.citation Peisker, Andre ; Raschke, Gregor-Franziskus ; Schultze Mosgau, Stefan. Management of dental extraction in patients with Haemophilia A and B: a report of 58 extractions. En: Medicina oral, patología oral y cirugía bucal. Ed inglesa, 2014, Vol. 19, No. 1: 55-60 es
dc.identifier.uri http://hdl.handle.net/10550/36856
dc.description.abstract Objectives: Patients with inherited bleeding disorders are at high risk of bleeding following oral surgery and present challenges to the oral surgeons. Aim of this study was to report our experience in dental extraction in patients exhibiting Haemophilia A and B between 2007 and 2012. Patient and Methods: 58 dental extractions in 15 patients during 19 interventions were performed. Replacement therapy with recombinant and plasma-derived factor VIII and IX was applied systematically in combination with antifibrinolytic treatment and local haemostatic measures. The following data were recorded: type of surgery, applied local haemostatic measures, general substitution, systemic antifibrinolytic agents and occurrence of postoperative bleeding complications. Results: Two patients presented postoperative bleeding. One had secondary bleeding requiring additional injection of factor concentrates. The other one presented epistaxis which was managed conservatively with a nasal tamponade. Conclusions: Excellent haemostasis is achievable after dental extractions in patients with Haemophilia A and B by following a protocol using defined pre- and postoperative doses of factor concentrates in combination with haemostatic measures. en_US
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Management of dental extraction in patients with Haemophilia A and B: a report of 58 extractions es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.type.hasVersion VoR es_ES
dc.identifier.url http://www.medicinaoral.com/pubmed/medoralv19_i1_p55.pdf es

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