Tratamiento dental en pacientes infantiles con hemofilia A. Revisión literaria.

  1. M. Manjón Vega 1
  2. N. López-Valverde 2
  3. L. Lacasa Blázquez 1
  4. T. Vargas Olegario 1
  5. B. Peralta 1
  6. G. Giovannini 1
  7. R. Gómez de Diego 3
  1. 1 Facultad de Ciencias de la Salud, Universidad Alfonso X el Sabio, Madrid, España
  2. 2 Departamento de Cirugía y Estomatología, Universidad de Salamanca, Salamanca, España
  3. 3 Departamento de Medicina y Estomatología, Universidad Rey Juan Carlos, Madrid, España
Labor dental clínica: Avances clínicos en odontoestomatología

ISSN: 1888-4040

Year of publication: 2019

Volume: 20

Issue: 3

Pages: 28-35

Type: Article

More publications in: Labor dental clínica: Avances clínicos en odontoestomatología


Hemophilia hereditary disease, of low prevalence and clinical manifestations in men, presents two types: A and B, being affected coagulation factors VIII and IX respectively, and being classified as mild, moderate or severe. His clinic is associated with hemorrhages and joint disorders. Laboratory tests have a prolonged activated partial thromboplastin time, and coagulation factors must be analyzed to determine the type of disease. Its treatment is associated with the administration of deficit factors and the use of antifrinolytics. A literary review of the last 10 years was carried out in the PubMed / MEDLINE database and library of the University of Salamanca, obtaining for analysis 25 articles that met the proposed inclusion criteria. The recommended anesthetic techniques seem to be infiltrative, using drugs with vasoconstrictor. The hemophiliac patient does not have a higher prevalence of caries, being recommended the treatment of pulp exeresis versus dental exodontics. These subjects can be treated orthodontically without registering a higher incidence of complications, as long as it is associated with an exhaustive professional control of gingival health. In both subgingival periodontal treatments and in multiple extractions, it is advisable, in the moderate and severe types of the disease, to resort to the application of deficit factors, as well as to antifibrinolytics, which allows the outpatient treatment of the patient

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