Dental management of haemophilic pediatric patients

ABSTRACT

The aim of the study was to evaluate the effectiveness of a standard protocol to prevent bleeding episode/s after dental procedures. Eighty-six pediatric patients [5-13 yrs] of both genders requiring minor invasive dental procedures were screened by the Haemophilic Center and referred to Dental Department of Children's hospital, Pakistan Institute of Medical Sciences [PIMS], Islamabad. Protocols observed to provide correct homeostasis included pre-operative intravenous factor replacement therapy and post-operative local and systemic application of tranexamic acid. Treatment outcome rated as excellent [achievement of normal haemostatic with local and orally agents] was achieved in 57% patients. A good outcome [mildly abnormal haemostatis requiring systemic agents but not requiring factor therapy] was found in 39% while only 3 patients exhibited a poor outcome [severely abnormal haemostatis requiring factor therapy]. No bleeding event required hospitalization. It was concluded that strict observance of this protocol can be termed successful in achieving haemostatis in haemophilic patients undergoing minor invasive dental treatment