Clinical Impact of Oral Health Indexes in Dental Extraction of Hemophilic Patients
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).
Conclusion
The status of oral health did not interfere with bleeding caused by dental extraction of hemophilic patients.
⁎Head, Dental Ambulatory, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil.
†Professor and Director, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil.
‡Associate Professor, Oral Pathology Department, Piracicaba Dental School, State University of Campinas, São Paulo, Brazil.
§Professor and Head, Oral Pathology Department, Piracicaba Dental School, State University of Campinas, São Paulo, Brazil.
∥Assistant Doctor, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil.
¶Assistant Doctor, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil.
#Assistant Doctor, 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
ABSTRACT