Dental procedures in adult patients with hereditary bleeding disorders: 10 years experience in three Italian Hemophilia Centers.

Excessive bleeding after dental procedures are one of the most frequent complications occurring in patients with hereditary bleeding disorders. In this retrospective study we collected data from 10 years of experience in the oral care of patients with congenital haemorrhagic disorders in three Italian Hemophilia Centers. Between 1993 and 2003, 247 patients with inherited bleeding disorders underwent 534 dental procedures including 133 periodontal treatments, 41 conservative dentistry procedures, 72 endodontic treatments and 288 oral surgery procedures. We recorded 10 bleeding complications (1.9%), most of which occurred in patients with severe/moderate haemophilia A undergoing multiple dental extractions. Thus, our protocol of management of patients with hereditary bleeding tendency undergoing oral treatment or surgery has been shown to be effective in preventing haemorrhagic complications.

[Maxillofacial traumatology in sports practice]. / La traumatologia maxillo-facciale nella pratica sportiva.

The importance of maxillofacial traumatology in sporting practice is stressed. 1094 patients have been treated for eight years, emphasizing in this way the continuous and constant increase--the incidence of this kind of trauma.

[Surgically assisted rapid palatal expansion using corticotomy of the upper jaw]. / Disgiunzione rapida del palato associata a chirurgia mediante corticotomie del mascellare superiore.

After a brief review of the techniques reported for the rapid maxillary expansion surgically assisted, the Authors describe their surgical approach and present two cases of RPE in combination to surgery.