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Local hemostatic technic using a celluloid splint in bleeding disorders

T Im-erbsin1, M Suwannuraks

  • 1Dental Division, Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand.

The Southeast Asian Journal of Tropical Medicine and Public Health
|January 1, 1993
PubMed
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Controlling dental bleeding in patients with bleeding disorders is challenging. Celluloid splints, combined with other therapies, offer a cost-effective and beneficial adjunct for managing hemorrhage in these patients.

Area of Science:

  • Dentistry
  • Hematology

Background:

  • Hemorrhage control during dental procedures for patients with bleeding disorders presents significant clinical challenges.
  • Common bleeding disorders managed include leukemia, immune thrombocytopenic purpura (ITP), and hemophilia.

Purpose of the Study:

  • To evaluate the efficacy of celluloid splints as an adjunctive therapy for managing dental hemorrhage in patients with bleeding disorders.

Main Methods:

  • A retrospective analysis of 278 patients over 5 years was conducted.
  • The study involved local hemostatic techniques, replacement therapy, local hemostatic agents, and antifibrinolytics.
  • Celluloid splints were used as an adjunct therapy.

Main Results:

  • Celluloid splints demonstrated significant benefits in controlling hemorrhage during dental procedures.

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  • This adjunct therapy was associated with reduced hospitalization duration and improved patient outcomes.
  • The approach proved to be cost-effective.
  • Conclusions:

    • Celluloid splints are a highly beneficial adjunct for managing dental hemorrhage in patients with bleeding disorders.
    • The technique offers advantages including cost-effectiveness and improved patient outcomes.
    • It is now a routine procedure in the Dental Division at Ramathibodi Hospital.