Outpatient minor oral surgery in patients with hemophilia: a case series of 23 patients

• Emilio A. Ramos ^[1] ; Maximiliano Diamante ^[2] ; Diego Caruso ^[3] ; Juan M. Muiño ^[4] ; Alejandra Baques ^[5] ; Ludmila B. Antonelli ^[6] ; Josefina Gutierrez ^[7] ; Marcelo O. Minigutti ^[5] ; Gabriela Guerrero ^[5]
  1. [1] DDS. Maxillofacial Surgery Department Staff, Dr. César Milstein Hospital, Argentina
  2. [2] DDS. Head of the Maxillofacial Department, Dr. César Milstein Hospital, Argentina
  3. [3] MD, MSc. Head of the Clinical Research Department, Dr. César Milstein Hospital, Argentina
  4. [4] DDS. Residents instructor, Maxillofacial Surgery Department, Dr. César Milstein Hospital, Argentina
  5. [5] MD. Hemophilia and Complex Coagulopathies Department Staff, Dr. César Milstein Hospital, Argentina
  6. [6] DDS. Chief Resident, Maxillofacial Surgery Department, Dr. César Milstein Hospital, Argentina
  7. [7] DDS. Resident, Maxillofacial Surgery Department, Dr. César Milstein Hospital, Argentina

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• Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 11, Nº. 4 (April ), 2019, págs. 395-399
• Idioma: inglés
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• Resumen

  • Hemophilia is an inherited coagulation disorder characterized by deficiency of the coagulation factor VIII or IX. When the management of hemostasis is inadequate, these patients are at high risk of experiencing intra and postoperative bleedings after tooth extractions. Coagulation factor replacement therapy allows performing most surgical procedures safely, although the factor levels and length of treatment have not been clearly determined. In this study, we present our experience in a retrospective series of 112 ambulatory tooth extractions under local anesthesia in 23 patients with hemophilia using a coagulation factor replacement therapy in combination with tranexamic acid. The results obtained with this protocol were satisfactory and only one episode of mild postoperative bleeding occurred after seven days in a patient who did not have good treatment compliance.