Calvo-Guirado Jose Luis, Romanos Georgios E, Delgado-Ruiz Rafael Arcesio
International Dental Research Cathedra Department of Oral Surgery, Universidad Catolica San Antonio de Murcia Facultad de Ciencias de la Salud, Murcia, Murcia, Spain.
Department of Periodontology, Stony Brook University, Stony Brook , New York, USA.
BMJ Case Rep. 2019 Mar 22;12(3):e229204. doi: 10.1136/bcr-2019-229204.
Haemorrhagic disorders combined with soft tissue inflammation and infection may lead to severe bleeding complications before, during or after dental treatment. In selected cases, a combined therapeutic approach involving clinical therapies and systemic and local medication could improve the treatment outcomes and the patient's quality of life. This clinical case report, presents for the first time a successful combined approach, completed in a 38-year-old male patient with severe type-B haemophilia in which an infected tooth was extracted, an immediate implant was inserted, bone grafting was performed and early implant loading was successfully applied. In addition to the clinical therapy, medication was provided orally, systemically and locally, thus preventing the haemorrhagic complications and improving the patient's quality of life.
出血性疾病合并软组织炎症和感染可能在牙科治疗前、治疗期间或治疗后导致严重的出血并发症。在某些情况下，采用包括临床治疗以及全身和局部用药的联合治疗方法，可能会改善治疗效果和患者的生活质量。本临床病例报告首次展示了一种成功的联合治疗方法，该方法应用于一名38岁的重度B型血友病男性患者，成功拔除了一颗感染牙，即刻植入了种植体，进行了骨移植，并成功进行了早期种植体加载。除了临床治疗外，还进行了口服、全身和局部用药，从而预防了出血并发症并提高了患者的生活质量。
