先天性第V因子欠乏症患者の抜歯経験 Experience with tooth extraction in a patient with congenital factor V deficiency
Congenital factor V deficiency is a very uncommon disease. We performed tooth extraction in a patient with congenital factor V deficiency. We describe the patient and discuss treatment-related considerations.<BR>The patient was a 27-year-old man. Congenital factor V deficiency was diagnosed immediately after birth. Three teeth at the anterior region of the maxilla were extracted while the patient received 5 units of fresh frozen plasma (FFP). After the transfusion of FFP, the serum level of factor V increased from 8% to 33%. The socket of each tooth was filled with oxidized cellulose, and the gingival tissue was sutured. The wound was then covered with an acrylic splint. Hemostasis was easily achieved, and wound healing was uneventful.
日本口腔外科学会雑誌 51(10), 512-515, 2005-10-20
Japanese Society of Oral and Maxillofacial Surgeons