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2 Visit: http://image.idakunnamkulam.com/ Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders CONTENTS 1. HAEMOSTATIC DISORDERS P 3-4 2. HAEMATOLOGY AND HAEMOSTATIC DISORDERS P 5-6 3. CLOTTING MECHANISM OF BLOOD P 7 4. HEMOPHILIA P 8-10 5. GENERAL MEDICAL TREATEMENT OF HEMOPHILIA P 11-12 6. DENTAL MANAGEMENT IN PERSONS WITH HEMOPHILIA AND OTHER HAEMOSTATIC DISORDERS - AN OVER VIEW P 13-23 7. HEMOPHILIA AND CHILDREN (PEDODONTICS) PG 24 -31 8. DENTAL TREATMENT MODALITIES FOR HEMOPHILIC PATIENTS ñ SOME TIPS PG 32-36 9. GENERAL INSTRUCTIONS TO PERSONS WITH OTHER BLEEDING & CLOTTING DISORDERS PG 37- 39 10. COMMUNITY DENTISTRY AND HEMOPHILIA PG 40- 42 11. REFERENCE CENTERS AND REFERENCES PG 43-45 12. GLOSSARY PG 46-50 Visit : http://image.idakunnamkulam.com/ Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders
3 Visit: http://image.idakunnamkulam.com/ Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders HAEMOSTATIC DISORDERS Bleeding disorders are conditions that after the ability of blood vessels, platelets and coagulation factors to maintain haemostasis inherited bleeding disorders are genetically transmitted. Acquired bleeding disorders occur secondary to diseases affecting vascular wall integrity, platelets of coagulation factors, drugs, radiation or chemotherapy for cancer. Hemorrhage, intravascular thrombosis and embolism are common clinical manifestations of abnormal interactions between components of the vessel, circulating platelets and plasma proteins. However, when disease or trauma damage large arteries and veins, excessive bleeding may occur despite a normal haemostatic system. Primary haemostasis: Stops blood loss from capillaries, small arterioles and venules. It occurs within seconds. During this period, platelet plug is formed at the site of injury. Three critical events occur during this phase platelet adhesion, granule release and platelet aggregation. Secondary haemostasis: Completed in several minutes and is important in bleeding from larger vessels. During this period fibrin is formed it is the activation of clotting process in plasma. Which ultimately results in the formation of fibrin. Which strengthens primary haemostatic plug. It is a continuous process and there are approximately 40 substances, which affect clotting. Some promote clotting (procoagulants) and some inhibit clotting (anticoagulants). Normally there is a fine balance between these factors and blood usually does not coagulate in the vessel. Whenever there is an injury to the vessel these procoagulants are activated and balance tilts infavour of coagulation and there is formation of clot. Visit : http://image.idakunnamkulam.com/ Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders
Page 1 and 2: DENTAL MANAGEMENT OF PERSONS WITH H
Page 3 and 4: INDIAN DENTAL ASSOCIATION, KERALA S
Page 5 and 6: IDA KERALA STATE CDE CHAIRMANíS ME
Page 7 and 8: IDA KERALA STATE EDITORíS MESSAGE
Page 9: EDITORIAL Dental Surgeons face blee
Page 14 and 15: 4 Visit: http://image.idakunnamkula
Page 20 and 21: 10 Visit: http://image.idakunnamkul
Page 60: 50 Visit: http://image.idakunnamkul

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