Dental Extraction in Haemophilia and Christmas Disease

[摘要] This paper reports experience derived from the management of 32 dental operations for tooth extraction in patients with hemophilia or Christmas disease. The greatest incidence of complicating hemorrhage was on the third postoperative day. A feature of the management was preparation of an acrylic resin protective splint before operation for insertion immediately afterward to protect the soft friable clot in the tooth socket from trauma by food or from disturbance by the tongue. Details for the preparation of this splint are given. The measures found by the authors to promote most successful management include (a) extraction of not more than two teeth at one time, (b) use of the acrylic resin protective splint, (c) administration of fresh frozen plasma just before the extractions, and (d) oral antibiotic therapy.

[学科分类] 儿科学