Extrakce zubů u nemocných s poruchou hemokoagulace

Abstract

The study deals with the question of minor oral surgery procedures, dental extractions especially, in patients suffering from haemocoagulation disorder. The aim of this study was 1) the clinical attestation of the risk of bleeding that may follow the dental extraction in patients with non-interrupted oral administration of drugs with the anticoagulant and antiplatelet effects and 2) suggestion of the schedules of surgical procedures suitable for this kind of patients and for the realization in the standard dental office. The opening theoretical part analyses the principle of haemocoagulation, the surway of individual inherited and acquired bleeding disorders and the main principles of treatment of bleeding patients in dental offices with the emphasis on the local security of the surgical wound. In the proper study we present the observation and evaluation of bleeding complications after the standard dental extractions in 3 groups of persons (age range, 19 to 93 years). In all patients, one or more extractions were performed. 99 patients were treated with oral anticoagulant therapy without any interruption and underwent 199 extractions. 149 patients, treated with antiplatelet therapy (acetylsalicylic acid) without interruption, underwent 347 extractions. 160 healthy subjects with 316 extractions served as a...

Autor se ve své dizertační práci zabývá problematikou chirurgických výkonů, především zubních extrakcí u nemocných s poruchou hemokoagulace. Jejím cílem bylo klinické ověření rizika krvácení v souvislosti s extrakcemi u pacientů s nepřerušenou perorální antikoagulační a antiagregační léčbou a stanovení schémat postupů chirurgického ošetření pacientů s hemokoagulační poruchou v ordinaci praktického zubního lékaře.