News Release

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Safely Performing Oral Surgery in Patients with Hemophilia A

Journal of Oral Implantology –People with the rare, genetic blood disorder known as hemophilia A have difficulty with their blood clotting properly, which can cause dangerous bleeding in wounds that generally require minimal care. Owing to this disorder, people who require oral surgery are considered high-risk patients and more careful consideration needs to occur when determining their treatment plan.

“The management and indication of elective dental procedures in patients with hemophilia A must consider the severity of the disorder, the type of the dental procedure, and the patients’ medical history to choose the more adequate therapy,” pens Mateus de Azevedo Kinalski, DDS Federal University of Pelotas, Pelotas, Brazil and co-authors. Kinalski and colleagues recently published a novel case report in the Journal of Oral Implantology that outlines the process of a successful oral surgery in a patient with mild hemophilia A.

A 46-year-old white male, with mild hemophilia A (16% factor VIII level) underwent oral surgery with the approval of the blood center multidisciplinary team. The patient required a total of six dental implants: three in the lower arch in previously healed sites, one at a fresh extraction socket, and two at the posterior healed sites. This surgery also included the need for a sinus floor elevation procedure, which was completed using a bone compression method; thus, allowing “the surgeon to accurately and consistently control the height of the grafted space with less chance of perforation of the sinus membrane, which in the case of a hemophilic patient could result in major complications,” stated the authors.

Full text of the article, “Delayed Bleeding in a Hemophilic Patient After Sinus Floor Elevation and Multiple Implant Placements: A Case Report” Journal of Oral Implantology, Vol. 48, No. 2, 2022, is available at https://doi.org/10.1563/aaid-joi-D-20-00043.

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About the Journal of Oral Implantology
The Journal of Oral Implantology is the official publication of the American Academy of Implant Dentistry and of the American Academy of Implant Prosthodontics. It is dedicated to providing valuable information to general dentists, oral surgeons, prosthodontists, periodontists, scientists, clinicians, laboratory owners and technicians, manufacturers, and educators. The JOI distinguishes itself as the first and oldest journal in the world devoted exclusively to implant dentistry. For more information about the journal or the society, please visit http://www.joionline.org
 

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