Clinical impact of oral health indexes in dental extraction of hemophilic patients

Autor: Maria Elvira Pizzigatti Correa, Maria Lourdes Barjas-Castro, Joyce Maria Annicchino-Bizzacchi, Jacks Jorge, Francisco J.P. Aranha, Margareth C. Ozelo, Oslei Paes de Almeida
Rok vydání: 2006
Předmět:
Zdroj: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 64(5)
ISSN: 0278-2391
Popis: Purpose Periodontal disease in patients with hemorrhagic disorders may lead to severe bleeding during dental treatment. This study evaluated the clinical impact of oral health indexes in hemophilic patients undergoing tooth extraction. Patients and Methods Thirty-one hemophilic patients underwent teeth extractions using autologous fibrin glue and an oral antifibrinolytic drug (epsilon-aminocaproic acid). Oral health indexes (plaque, PI; gingival, GI; and decay-missing-filling-teeth, DMFT index) were evaluated before tooth extraction. Results Postsurgical bleeding episodes were observed in 6 hemophilic patients (1 severe, 3 moderate, and 2 mild type). The PI and GI index in the bleeding group were 1.8 and 1.7, respectively, and 1.8 for both of the non-bleeding groups (PI, P = .8; GI, P = .56). The global DMFT index was 18 in the bleeding group and 19.6 in the non-bleeding group (P = .67). Conclusion The status of oral health did not interfere with bleeding caused by dental extraction of hemophilic patients.
Databáze: OpenAIRE