Experience with tooth extraction in a patient with congenital factor V deficiency

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  • KIMURA Sae
    Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
  • SUMITANI Kaname
    Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
  • MANABE Masato
    Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
  • YAGAMI Kimitoshi
    Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
  • IWASE Masayasu
    Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University
  • NAGUMO Masao
    Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University

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Other Title
  • 先天性第V因子欠乏症患者の抜歯経験
  • ショウレイ ホウコク センテンセイ ダイ5 インシ ケツボウショウ カンジャ ノ バッシ ケイケン

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Abstract

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.

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