The haemophiliacs’ surgical treatment is done altogether with the Haematologist Service: surgical extraction of teeth, oral mucous injury extirpation, biopsy (diagnostics by tissue taking); really the most part of surgical proceedings used.
It should not take dental surgery extractions lightly; it should be considered the last option. Provided that a conservative dental treatment can be done, it is preferable.
Before a surgery treatment is done, the Haematology Service examines the haemophiliacs. Depending on the severity, the haemophilia type and the value of blood coagulation factor, a prophylactic treatment will be needed. The extraction will be done with local anaesthesia, minimizing as much as possible the surgery trauma.
As bleeding post-surgical prevention local haemostatics will be used. The main risk is the bleeding and the post-surgical haematoma.
- -Avoid to rinse out one’s mouth the first 24 hours
- Local ice to minimize the inflammation
- Take a liquid diet the first 24 hours and a soft diet the following days
- First 24 hours after NO dental brush on the operated area
- Sleep with bed head incorporated
- Pharmacological treatment
- In case of bleeding compress with a cotton or a gauze on the operated area for one hour. If it does not stop make contact with emergency room.
A Stomatologist or Odontologist must do it, as well as revisions as recommended by the professional.