Clinical Impact of Oral Health Indexes in Dental Extraction of Hemophilic Patients

Correa, Maria Elvira P.; Annicchino-Bizzacchi, Joyce M.; Jorge, Jacks; Paes de Almeida, Oslei; Ozelo, Margareth C.; Aranha, Francisco José P.; Lourdes Barjas-Castro, Maria

doi:10.1016/j.joms.2005.11.044

« Previous Next »Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 5 , Pages 785-788, May 2006

Clinical Impact of Oral Health Indexes in Dental Extraction of Hemophilic Patients

Maria Elvira P. Correa, DDS, PhD
- Head, Dental Ambulatory, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil.
- Address correspondence and reprint requests to Dr Correa: Hemocentro, Universidade Estadual de Campinas – UNICAMP, P.O. Box: 6198, Cidade Universitária Zeferino Vaz, CEP 13081-970, Campinas, São Paulo, Brazil
Joyce M. Annicchino-Bizzacchi, MD, PhD
- Professor and Director, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil.
Jacks Jorge Jr, DDS, PhD
- Associate Professor, Oral Pathology Department, Piracicaba Dental School, State University of Campinas, São Paulo, Brazil.
Oslei Paes de Almeida, DDS, PhD
- Professor and Head, Oral Pathology Department, Piracicaba Dental School, State University of Campinas, São Paulo, Brazil.
Margareth C. Ozelo, MD, PhD
- Assistant Doctor, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil.
Francisco José P. Aranha, MD, PhD
- Assistant Doctor, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil.
Maria Lourdes Barjas-Castro, MD, PhD
- Assistant Doctor, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil.

Purpose

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.

Patients and 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).