Guidelines for Patients with Bleeding Disorders Undergoing Dentalveolar Surgeries

Abstract

Dental practitioners must be well informed about the pathology, complications and treatment options associated with bleeding disorders patients. Prolongation of bleeding time can seriously complicate the patient’s condition during and after surgery, especially if there is iron deficiency anemia or any other condition accompanied by a decrease in hematopoiesis. For this reason, the dentist surgeon must be aware about the presence of such diseases in advance, in order to prevent the development of bleeding and its undesirable consequences promptly. Blood loss becomes apparent when blood exits through a natural opening in the body, for instance the nose & mouth. In this article, common medical bleeding situations with the potential to compromise the successful outcome of dental surgical procedures have been presented. Bleeding disorders is a disease group, which can be classified as deficiencies of coagulation factors, platelet disorders, vascular disorders, fibrinolytic defects and so on. Fragile blood vessels can cause bleeding, petechiae, bruising, etc. In most cases, vascular disease does not cause serious blood loss, with the exception of hereditary hemorrhagic telangiectasia. In this paper, we discuss the most common hereditary diseases associated with a deficiency of plasma coagulation factors VIII and IX, the disease of platelet deficiency (Glansman disease), the prophylaxis of bleeding in this kind of patients, and the effect of drugs on coagulation processes as well.