Vnitr Lek 2008, 54(4):415-420

Preparation of patients with haemostasis disorder for dental surgery

O. Bulik^1,*, A. Buliková², P. Smejkal², M. Penka²

¹ Klinika ústní, čelistní a obličejové chirurgie Lékařské fakulty MU a FN Brno, pracoviště Bohunice, přednosta doc. MUDr. Milan Machálka, CSc.

² Oddělení klinické hematologie FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Miroslav Penka, CSc.

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 stomatologist's 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.

Keywords: dental care; bleeding disorder; anticoagulant treatment

Received: February 4, 2008; Published: April 1, 2008  Show citation