open access

Vol 49, No 1 (2018)
Case Report
Published online: 2018-03-30
Submitted: 2018-01-07
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Implantoprosthetic rehabilitation of a patient with severe form of hemophilia B: a case report

Aneta Neskoromna-Jędrzejczak, Katarzyna Bogusiak, Krzysztof Chojnowski, Marta Robak, Jacek Treliński
DOI: 10.2478/ahp-2018-0006
·
Acta Haematol Pol 2018;49(1):33-36.

open access

Vol 49, No 1 (2018)
Case Report
Published online: 2018-03-30
Submitted: 2018-01-07

Abstract

The preparation of patients with hemophilia before surgical operations and dental procedures constitutes a significant clinical challenge. This article presents the implantoprosthetic rehabilitation of a patient with severe hemophilia B (factor IX activity <1%). The patient was prepared for the surgical procedure with recombinant factor IX concentrate (Rixubis) during the clinical surgery study. Tooth extraction and the implantation of four dental implants in the mandible were planned: one dental implant of 3.7 mm diameter and 10 mm length in the place of tooth 35, and another of 3.2 mm diameter and 10 mm length in the place of tooth 37. The next two implants were implemented 1 month later: one implant 3.7 mm in diameter and 10 mm in length in the place of tooth 46, and another implant 3.2 mm in diameter and 10 mm in length in the area of tooth 44. Appropriate substitution of the missing coagulation factor, together with the use of local hemostatic therapy, allowed dental implantation to be performed without excessive blood loss in this patient with severe hemophilia B.

Abstract

The preparation of patients with hemophilia before surgical operations and dental procedures constitutes a significant clinical challenge. This article presents the implantoprosthetic rehabilitation of a patient with severe hemophilia B (factor IX activity <1%). The patient was prepared for the surgical procedure with recombinant factor IX concentrate (Rixubis) during the clinical surgery study. Tooth extraction and the implantation of four dental implants in the mandible were planned: one dental implant of 3.7 mm diameter and 10 mm length in the place of tooth 35, and another of 3.2 mm diameter and 10 mm length in the place of tooth 37. The next two implants were implemented 1 month later: one implant 3.7 mm in diameter and 10 mm in length in the place of tooth 46, and another implant 3.2 mm in diameter and 10 mm in length in the area of tooth 44. Appropriate substitution of the missing coagulation factor, together with the use of local hemostatic therapy, allowed dental implantation to be performed without excessive blood loss in this patient with severe hemophilia B.

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Keywords

hemophilia B; dental implant; implantoprosthetic rehabilitation; Rixubis

About this article
Title

Implantoprosthetic rehabilitation of a patient with severe form of hemophilia B: a case report

Journal

Acta Haematologica Polonica

Issue

Vol 49, No 1 (2018)

Pages

33-36

Published online

2018-03-30

DOI

10.2478/ahp-2018-0006

Bibliographic record

Acta Haematol Pol 2018;49(1):33-36.

Keywords

hemophilia B
dental implant
implantoprosthetic rehabilitation
Rixubis

Authors

Aneta Neskoromna-Jędrzejczak
Katarzyna Bogusiak
Krzysztof Chojnowski
Marta Robak
Jacek Treliński

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