Current Surgical Procedures for Hemophilic Patients in Oral Surgery

Purpose: Hemophilia is a hereditary disorder of coagulation results in deficiency of factor VIII (Hemophilia A) or factor IX (haemophilia B). Excessive bleeding after dental procedures are one of the most frequent complications occurring in these patientsThe aim of this study is to present current surgical approach procedures to hemophilia patients with case series and literature review as a retrospective study. Material and Methods: We included twenty Heamophiliac patients (15 Hemophila A, 1 Hemophilia B, 4 Von Wileebrand) who consulted to İstanbul University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery to our study. We performed oral surgical procedures and periodontal treatments to our patients atraumatically. Results: Four of severe Hemophiliac patient revealed mild level bleeding. One of these patients (%5) recieved tranecsamic asid and three of them (%15) received Ankaferd Blood Stopper. Then we contorolled the bleeding. In one patient, we observed hematoma on the side where we applied local anesthesia. Conclusion: Oral care providers that treat patients with bleeding disorders should be aware of all the measures for controlling bleeding and the principles of atraumatic surgery.