Morbidity and economic complications following mucogingival surgery in a hemophiliac HIV-infected patient: a case report.
J Periodontol
; 75(10): 1413-6, 2004 Oct.
Article
em En
| MEDLINE
| ID: mdl-15562920
ABSTRACT
BACKGROUND:
This report describes the surgical treatment of a gingival recession in a hemophiliac HIV-infected patient. To our knowledge, mucogingival surgery has not been described previously in these patients.METHODS:
Under the supervision of the patient's hematologist, a subepithelial connective tissue graft procedure was carried out to treat the recession. The treatment was performed after substitution therapy with factor VIII concentrate, supported by local antifibrinolytic treatment with epsilonaminocaproic acid.RESULTS:
One week after surgery, the grafted zone showed a normal healing, but an area of necrosis appeared at the donor palatal site with spontaneous bleeding. The administration of factor VIII concentrate had to be prolonged to arrest the hemorrhage. In total, 44,500 units of factor VIII concentrate were used, the cost of which reached around $20,000. After 1 month the donor site had re-epithelialized by secondary intention. The root coverage was around 85% successful.CONCLUSIONS:
Because of the surgical risk and the high economic cost in the use of the factor VIII concentrate, we do not recommend performing mucogingival surgery in HIV-infected hemophiliacs unless it is absolutely necessary. Prevention and early treatment must be the goal in the management of these patients.
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Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Infecções por HIV
/
Retração Gengival
/
Hemofilia A
Tipo de estudo:
Etiology_studies
/
Health_economic_evaluation
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
J Periodontol
Ano de publicação:
2004
Tipo de documento:
Article