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A Journal on Dentistry and Maxillofacial Surgery
Minerva Stomatologica 2000 November-December;49(11-12):535-40
Stomatologic approach in patients with congenital coagulation defect
Battista F., Dell'Aquila A., Ferrigno M., Vitiello G.
Background. The purpose of the present paper was to resolve postoperative bleeding after oral surgery in patients with congenital coagulative defects, avoid transfusion of clotting factors and improve the patient's quality of life.
Methods. Since 1988, 1598 oral surgery procedures have been performed on patients with congenital coagulative defects treated with a protocol including pre- and postoperative tranexamic acid rinses.
Results. The use of tranexamic acid mouth washing has obtained effective hemostasis in 86% of cases and only 4% of surgical procedures required clotting factor transfusions.
Conclusions. The results suggest that mouth washing with tranexamic acid prevents excessive oral bleeding in patients with congenital deficit of the coagulation system. Furthermore, a total elimination of the granulation tissue, that reduces the possibility of activation of the fibrinolytic mechanism, is also important.