Preparation of patients with haemostasis disorder for dental surgery

Czech version

Authors: O. Bulik ¹; A. Buliková ²; P. Smejkal ²; M. Penka ²
Authors‘ workplace: Klinika ústní, čelistní a obličejové chirurgie Lékařské fakulty MU a FN Brno, pracoviště Bohunice, přednosta doc. MUDr. Milan Machálka, CSc. ¹; Oddělení klinické hematologie FN Brno, pracoviště Bohunice, prim. prof. MUDr. Miroslav Penka, CSc. ²
Published in: Vnitř Lék 2008; 54(4): 415-420
Category: Review

Předneseno na XIII. Pařízkových dnech s mezinárodní účastí s podtitulem Diagnostika a léčba krvácení v praxi, konaných v Novém Jičíně ve dnech 15. 16. 3. 2007.

Overview

The most of patients need dental care during their time of life. It can be situation to detect bleeding disorder in patients who have been suggested apparently healthy to this time. In patients with known bleeding tendency it can be situation in which good interdisciplinary coordination is necessary. In the most cases patients with anticoagulation treatment are involved between those with haemostasis problems. Nevertheless, they do not need therapy interruption in the most of cases, only the knowing actual therapeutic level of INR and appropriate stomatologistʼs erudition. Another situation is in patients with severe haemostatic bleeding disorder. They don’t need only special procedure in dental extractions but also lifelong dental care. One can establish patients, in whom it is not possible only outpatient treatment but in whom a few days hospitalization is necessary. Above all they are patients with haemophilia and inhibitor, those with multiple or surgery extractions and persons with multiple haemostasis impairment.

Key words:
dental care – bleeding disorder – anticoagulant treatment

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