hand book for dental surgeons - Indian Dental Association ...

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Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders
DENTAL MANAGEMENT IN PERSONS WITH HEMOPHILIA
AND OTHER HAEMOSTATIC DISORDERS - AN OVER VIEW
Numerous procedures in dental practice may cause bleeding. Uncontrolled bleeding after minor surgical
procedures like tooth extraction being one of the main complications encountered in clinical practice in normal
circumstances, dental procedures can be performed with little or no risk to the patient. However, a patient,
whose ability to control bleeding is altered by drug or disease is in grave danger unless the dentist identifies the
problem before performing any surgery. Therefore, it is very important that proper medical and family history
of the patient is collected before commencing any surgical procedure, and routine blood investigations should
be carried to identify the bleeding disorder to reduce the risks associated with dental procedures.
The dental treatment of patients with inherited bleeding disorders has been widely discussed in the literature
with the aim of developing guidelines for common procedures. the majority of guidelines recommend the use of
clotting factor replacement therapy before invasive oral surgery and the use of the inferior alveolar nerve block
for restorative dental treatment. the dose of clotting factor used varies and this may be due to problems relating
to both the availability and cost of factor concentrate in different parts of the world.
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Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders