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

More documents

Recommendations

Info

32 Visit: http://image.idakunnamkulam.com/ Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders DENTAL TREATMENT MODALITIES FOR HEMOPHILIC PATIENTS ñ SOME TIPS DENTAL PAIN MANAGEMENT Dental Pain can be managed depending on the patientís pain threshold and the type of treatment to be undertaken. Option of treatment without anaesthesia may also be considered. Sedation & hypnosis are methods to control the anxiety; thus eliminating the need of anaesthesia in some kind of treatment. Intravenous diazepam or Nitrous oxide analgesia are best options. NSAIDs are to be avoided. ANAESTHESIA Intra pulpal anaesthesia is safe and effective, after accessing and extirpating pulp. Periodontal ligament and papillary injections with minimal volume and speed are also advised. Anaesthesia with vasoconstrictors should be used when possible Injections Infiltration for maxillary teeth with slow speed may be done Local pressure should be applied to the injection site for 3-4 minutes. If haematoma develops ice packs should be applied and emergency factor replacement therapy should be administered in a hospital. Block injections like inferior alveolar posterior Superior alveolar, infra orbital and even long buccal place the anaesthetic solutions to highly vascularised, loose connective tissues with no boundaries. Visit : http://image.idakunnamkulam.com/ Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders
33 Visit: http://image.idakunnamkulam.com/ Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders where formation of hematoma is a great problem. So it is advised to avoid block injections in these patients. Intra muscular injections should also be avoided because of chances of haematoma formation ORAL SURGERY Mandibular block injections are absolutely Contra indicated due to persistent haemorrhage into para pharyngal tissues. Local infiltration causes bleeding at each point Safe site of local infiltration is down the periodontal membrane. Haemorrhage plate may be given to protect the blood clot from trauma of food and tongue. Atraumatic extraction should be done Sides of Sockets should be gently squeezed. It is better to avoid Suturing because of needle wound as well as blood may be directed to the facial planes of neck. Antifibrinolytics like EACA (Epsilon amino Caproic acid) and tranexamic acid may be used for stabilization of clot. Tranexamic acid is more potent and longer acting (IV and oral 500mg tab dissolved in, oral of water) Avoid aspirin like drugs Paracetamol or dihydrocodeine may be effective. NSAIDs are to be avoided. 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 12 and 13: 2 Visit: http://image.idakunnamkula
Page 20 and 21: 10 Visit: http://image.idakunnamkul
Page 60: 50 Visit: http://image.idakunnamkul

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

Create successful ePaper yourself

Delete template?

Save as template?