ABSTRACT
This article reviews the therapeutic problems that arise in the dental management of hemophilia patients with inhibitor and suggests an anesthesia technique that may eliminate the need for factor replacement during restorative procedures. Intraligamentary anesthesia was used during restorative procedures that were performed throughout an 8-year period on a patient with factor VIII inhibitor. Multiple restorative procedures were accomplished without the use of replacement factor and with no postoperative bleeding. This technique, in consultation with the patient's physician, may be performed by most general practitioners in their private offices.
Subject(s)
Anesthesia, Dental/methods , Anesthesia, Local/methods , Factor VIII/antagonists & inhibitors , Hemophilia A/physiopathology , Periodontal Ligament , Adult , Antibodies/blood , Dental Care for Chronically Ill , Dental Restoration, Permanent , Factor VIII/therapeutic use , Hemophilia A/blood , Humans , Male , Postoperative Hemorrhage/prevention & controlABSTRACT
A case of rapidly progressive periodontal disease associated with human immunodeficiency virus (HIV) infection is presented. Rapid horizontal bone loss, with only moderate inflammation, occurred during a 13-month period. Pocket depth was significantly less than anticipated, given the degree of bone loss. The patient had no signs or symptoms of acquired immune deficiency syndrome (AIDS). The cause, features, diagnosis, and management are discussed.
Subject(s)
Acquired Immunodeficiency Syndrome/complications , Periodontal Diseases/complications , Adult , Bone Resorption/complications , Chronic Disease , Gingival Hemorrhage/complications , Gingival Recession/complications , Humans , Male , Periodontal Pocket/complicationsABSTRACT
The protocols for oral evaluation and treatment of patients with renal failure and renal transplants are presented. Guidelines for dental treatment planning are outlined, and extraction versus conservation of teeth is discussed. Information on special considerations involving dialysis, antibiotic prophylaxis, drug therapy, and immunosuppression is provided. The goal of treatment is to restore maximum function while minimizing the risk of oral infection after transplantation.
