口腔健康指数在血友病患者拔牙中的临床影响
Clinical impact of oral health indexes in dental extraction of hemophilic patients.
作者信息
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
机构信息
Dental Ambulatory, Hematology and Blood Transfusion Center/Hemocentro, State University of Campinas, São Paulo, Brazil.
出版信息
J Oral Maxillofac Surg. 2006 May;64(5):785-8. doi: 10.1016/j.joms.2005.11.044.
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.
目的
出血性疾病患者的牙周病可能导致牙科治疗期间严重出血。本研究评估了接受拔牙的血友病患者口腔健康指标的临床影响。
患者与方法
31名血友病患者使用自体纤维蛋白胶和口服抗纤维蛋白溶解药物（ε-氨基己酸）进行拔牙。在拔牙前评估口腔健康指标（菌斑，PI；牙龈，GI；以及龋失补牙，DMFT指数）。
结果
6名血友病患者出现术后出血情况（1例严重，3例中度，2例轻度）。出血组的PI和GI指数分别为1.8和1.7，非出血组的PI和GI指数均为1.8（PI，P = 0.8；GI，P = 0.56）。出血组的总体DMFT指数为18，非出血组为19.6（P = 0.67）。
结论
口腔健康状况并未干扰血友病患者拔牙引起的出血。
Zotero 插件