Tooth Extractions in Hemophilia Control of Bleeding without Use of Blood, Plasma or Plasma Fractions

Summary Hypnotic suggestion, loose packing of sockets and protection of the extractions area when properly done make it possible to carry out virtually painless tooth extractions in even the most severe hemophilics, with a minimum of hemorrhage and of physical or psychic trauma. Following the principles outlined 91 teeth were extracted from 20 hemophilic patients, 17 of whom had classical hemophilia “A” ranging in severity from mild to very severe (75 extractions), while 3 had hemophilia “B” (16 extractions). Fifty extractions were carried out without hospitalization. None of the extractions required pre or postoperative transfusions of blood, plasma or plasma fractions and there was no abnormal postoperative bleeding in any of the patients. A successful non-hemorrhagic extraction depends on effective cooperation between Oral Surgeon and Haematologist and the scrupulous execution of all three principles stated and not any single one in particular.