[Tooth extraction in hemophiliacs and patients with von Willebrand's disease. Therapeutic proposals apropos of 26 cases].
Extensive bleeding is an important complication of dental extractions in haemophiliacs. Based on 26 case reports, the different therapeutic possibilities are discussed. When general or regional anaesthesia is required, protocols can be proposed for coagulation factor supplementation or even treatment with Minirin. In cases with local anaesthesia, substitution is not required. The importance of mandatory local haemostatic measures combined with antifibrinolytic treatment is emphasized.
Piot
B
B
Service de Stomatologie et Chirurgie Maxillo-Faciale, C.H.R.U., Nantes.
Fiks-Sigaud
M
M
Ferri
J
J
Gordeeff
A
A
Mercier
J
J
D000293:Adolescent; D000328:Adult; D000933:Antifibrinolytic Agents / Q000627:therapeutic use; D002648:Child; D002985:Clinical Protocols; D003894:Deamino Arginine Vasopressin / Q000627:therapeutic use; D005260:Female; D006467:Hemophilia A / Q000517:prevention & control; D006488:Hemostasis, Surgical; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D006472:Oral Hemorrhage / Q000517:prevention & control*; D012189:Retrospective Studies; D014081:Tooth Extraction / Q000009:adverse effects; D014842:von Willebrand Diseases / Q000517:prevention & control
D000933:Antifibrinolytic Agents; D003894:Deamino Arginine Vasopressin
Les extractions dentaires chez les hémophiles et les porteurs de la maladie de Willebrand. Propositions thérapeutiques à propos de 26 observations.