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
Four extractions in different areas of the mouth are less traumatic than four extractions next to each other. In the
latter instance, there would be an extensive wound; because of the scalloped edge of the gum around the teeth it
can be at least 50% larger than the distance corresponding to the extracted teeth width. If the sutures are
removed within 24 hours, there is usually no need for a follow-up factor replacement treatment rise. Sometimes,
it may be necessary to retain sutures for longer, but a dentist would decide when it is appropriate, usually it
would only occur in an exceptional case if the dental surgery is very expensive.
In relation to any oral surgical intervention, it is of paramount importance that there is the least possible
interference with the attached gingival (gum) around the teeth and periosteum. Simply lifting the attached gum
tissues from the underlying tissue or periosteum, even in healthy patients will cause post-operative bleeding. the
goal is ìkey holeî surgery, where there is as little interference as possible with the attached gum to minimize
post-operative bleeding.
Start Tranexamic Acid the night before the procedure: 250mg for a child and 500mg for an adult for times daily.
Continue for 5-7 days after the procedure.
If there is an infection start an antibiotic the day before the procedure.
Bacampicillin 400mg (Trade name - Penglobe) twice daily for dults and 200mg twice daily for children.
Or Metrondazole 400mg (Trade name - flagyl) thrice daily for adults and 2000mg thrice daily for children.
One dose of factor concentrates 10units/kg to be administered before a major procedure and repeated if
necessary.
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Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders