title: Protocol for oral implant rehabilitation in a hemophilic HIV-positive patient with type C hepatitis.
abstract: METHODS
  A 46-year-old man with severe hemophilia A, stage A2 HIV infection and chronic hepatitis C genotype 1A, for whom the treatment plan included implant-supported prostheses in 2 mandibular edentulous sections. The protocol followed included factor VIII replacement concentrate and oral antifibrinolytic therapy. The right mandibular section was fitted with 3 Straumann implants (Ø 4.1 mm, length 10 mm), and the left mandibular section received 2 implants of the same characteristics. The patient showed no postoperative complications. After implant placement, the patient attended scheduled review appointments. After a 3-month period of osseointegration, the prosthesis was fitted.
  
  
  CONCLUSIONS
  Although, in this case, the treatment proved successful 2 years postrehabilitation and the protocol used seems safe and effective, long-term prospective studies are needed to evaluate the implant success rate in these patients.
authors.affiliation: *Associate Professor, Department of Stomatology, School of Dentistry, University of Seville, Seville, Spain. †Chairman, Hemophilia Unit, Hematology Service, Virgen del Rocío University Hospital, Seville, Spain. ‡Professor, Department of Stomatology, School of Dentistry, University of Seville, Seville, Spain. §Professor and Chairman, Special Care Dentistry, Department of Stomatology, School of Dentistry, University of Seville, Seville, Spain.
authors.forename: Lizett
authors.initials: L
authors.lastname: Castellanos-Cosano
authors.forename: Ramiro-José
authors.initials: RJ
authors.lastname: Núñez-Vázquez
authors.forename: Juan-José
authors.initials: JJ
authors.lastname: Segura-Egea
authors.forename: Daniel
authors.initials: D
authors.lastname: Torres-Lagares
authors.forename: José-Ramón
authors.initials: JR
authors.lastname: Corcuera-Flores
authors.forename: Guillermo
authors.initials: G
authors.lastname: Machuca-Portillo
mesh_terms: D002985:Clinical Protocols; D015921:Dental Implants; D015658:HIV Infections / Q000150:complications / Q000503:physiopathology*; D006467:Hemophilia A / Q000150:complications / Q000503:physiopathology*; D006526:Hepatitis C / Q000150:complications / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D015921:Dental Implants