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Bleeding tendency: a practical approach in dentistry
A A Garfunkel1, D Galili, M Findler
1Department of Hospital Oral Medicine, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel.
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|January 29, 2000
Summary
Dentists must understand hemostasis and fibrinolysis to manage bleeding. Protocols include clotting factor transfusion and tranexamic acid for patients with bleeding disorders.
Area of Science:
- Oral medicine
- Hematology
Background:
- Dental procedures can cause significant bleeding.
- Understanding hemostatic and fibrinolytic processes is crucial for dentists.
Purpose of the Study:
- To review hemostasis and fibrinolysis in dentistry.
- To discuss coagulation tests and antithrombotic medications.
- To provide protocols for managing exaggerated bleeding.
Main Methods:
- Review of coagulation factors and their clinical expression.
- Explanation of common blood coagulation tests.
- Discussion of antithrombotic drug implications.
Main Results:
- Coagulation and fibrinolysis are complex processes relevant to dental bleeding.
- Antithrombotic medications require careful consideration in dental practice.
- Specific protocols can effectively manage bleeding complications.
Conclusions:
- Dentists need knowledge of hemostasis and fibrinolysis.
- Management strategies include factor transfusion and antifibrinolytics like tranexamic acid.
- These approaches benefit patients with bleeding tendencies.