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
Prosthodontic treatment
Generally excessive muco compressive method may be avoided to avoid unnecessary bleeding.
Fixed prosthesis is preferred over removable prosthesis.
Denture trauma caused by the denture must be minimized.
Denture stomatitis (perleche) must be specially taken care of due to untoward haemorrhage
Alveoloplasty and pre prosthetic surgeries should be done after hospitalization and factor replacement
therapy.
Conservative dentistry
Conserving the teeth is of prime concern
Minimize the risk of laceration of soft tissues in the operative field.
Avoid creating ecchymoses and haematomas using high speed evacuators and saliva ejectors.
Rubber dam isolation is advised to minimize soft tissue laceration. At the same time, clamp must be
taken care of; not to traumatize gingival.
Matrices, wedges and hemostatic gingival retraction cord can be used with caution.
Restorations should not be the causative agents to accumulate food particles.
Finishing, polishing & accessibility to cleaning by tooth brush must be property looked upon.
Periodontal management
Periodontal health is of critical importance because of hyperaemia causing gingival bleeding and
periodontitis causing tooth morbidity leading to extraction of teeth.
Most of the patients are afraid of tooth brush induced bleeding so plaque and calculus would be very
common.
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Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders