Our Summary

This study focuses on how to manage patients with inherited bleeding disorders when they need oral surgery. These disorders can lead to a higher risk of bleeding during and after surgery. In this study, the team set up specific treatment plans for these patients to help manage their bleeding risk.

Between 2006 and 2018, they created 295 treatment plans for patients getting oral surgery. Out of these, 203 were carried out in their department. They included 180 surgeries for 147 patients in their analysis.

They found that the rate of bleeding complications was about 4.44% (or 8 out of 180 surgeries). Patients with haemophilia, a specific type of bleeding disorder, had a higher risk of complications. On average, if bleeding occurred, it started about 11 days after the surgery.

The study concludes that using these treatment plans seems to be effective in managing the risk of bleeding in these patients. Their rate of complications was similar to, and often lower than, other studies in the medical literature.

FAQs

  1. What is the focus of this study on oral surgery?
  2. What was the rate of bleeding complications found in the study?
  3. How effective are the treatment plans in managing the risk of bleeding for patients with inherited bleeding disorders?

Doctor’s Tip

A helpful tip a doctor might tell a patient about oral surgery is to inform them of any bleeding disorders or medical conditions they have that could increase their risk of bleeding during or after the procedure. By knowing this information, the doctor can create a specific treatment plan to help manage the patient’s bleeding risk and ensure a successful surgery outcome. It is important for patients to be open and honest about their medical history to ensure the best possible care and safety during oral surgery.

Suitable For

Patients with inherited bleeding disorders, such as hemophilia, von Willebrand disease, or other clotting factor deficiencies, are typically recommended oral surgery. These patients have a higher risk of bleeding during and after surgery due to their underlying condition. Therefore, it is important to have a specific treatment plan in place to manage their bleeding risk and ensure a successful outcome.

Timeline

Before oral surgery:

  1. Patient is diagnosed with an inherited bleeding disorder.
  2. Patient consults with healthcare provider to discuss treatment plan for oral surgery.
  3. Treatment plan is created to manage bleeding risk during and after surgery.

After oral surgery:

  1. Patient undergoes oral surgery with specific treatment plan in place.
  2. On average, bleeding complications occur about 11 days after surgery.
  3. Patients with haemophilia have a higher risk of complications.
  4. Rate of bleeding complications is about 4.44%.
  5. Treatment plans are found to be effective in managing bleeding risk in patients with inherited bleeding disorders.

What to Ask Your Doctor

Some questions a patient should ask their doctor about oral surgery, especially if they have an inherited bleeding disorder, include:

  1. What specific treatment plan will be in place to manage my bleeding disorder during and after oral surgery?
  2. What are the potential risks and complications associated with oral surgery for someone with a bleeding disorder?
  3. Will I need to stop taking any medications or supplements before the surgery to reduce the risk of bleeding?
  4. How will my bleeding disorder impact the healing process after oral surgery?
  5. How will you monitor me for any signs of bleeding complications during and after the surgery?
  6. Are there any specific post-operative care instructions I need to follow to minimize the risk of bleeding?
  7. What should I do if I experience excessive bleeding or other complications after the surgery?
  8. Are there any alternative treatment options or modifications that can be made to reduce the risk of bleeding during oral surgery?
  9. Will I need to follow up with a hematologist or other specialist after the surgery to ensure proper management of my bleeding disorder?
  10. Can you provide me with information on support groups or resources for individuals with inherited bleeding disorders who are undergoing oral surgery?

Reference

Authors: Landart C, Barbay V, Chamouni P, Trost O. Journal: J Stomatol Oral Maxillofac Surg. 2022 Oct;123(5):e405-e410. doi: 10.1016/j.jormas.2022.02.003. Epub 2022 Feb 9. PMID: 35150908