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


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).


CONCLUSIONS
The status of oral health did not interfere with bleeding caused by dental extraction of hemophilic patients.
Correa
Maria Elvira P
ME
Dental Ambulatory, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil. elvira@unicamp.br
Annicchino-Bizzacchi
Joyce M
JM
Jorge
Jacks
J
Paes de Almeida
Oslei
O
Ozelo
Margareth C
MC
Aranha
Francisco José P
FJ
Lourdes Barjas-Castro
Maria
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D015119:Aminocaproic Acid / Q000627:therapeutic use; D000933:Antifibrinolytic Agents / Q000627:therapeutic use; D004245:DMF Index; D017742:Dental Care for Chronically Ill; D003774:Dental Plaque Index; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D005884:Gingival Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006467:Hemophilia A / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008875:Middle Aged; D009909:Oral Health; D010512:Periodontal Index; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D011237:Predictive Value of Tests; D014081:Tooth Extraction / Q000009:adverse effects*; D016896:Treatment Outcome
D000933:Antifibrinolytic Agents; D015718:Fibrin Tissue Adhesive; D015119:Aminocaproic Acid