Management of dental extractions in XXXX with @entity3459 .

@entity1 @entity548 @entity1423 @entity447 @entity3459 @entity1410 @entity2880
OBJECTIVE: This study evaluated the effectiveness of a protocol to prevent @entity548 after dental extraction in @entity1 with @entity447 , @entity2880 ( @entity2880 ), or @entity1423 . STUDY DESIGN: Replacement therapy was used in cases involving general anesthesia, and nerve trunk infiltration was used in @entity1 with severe @entity3459 (severe-to-moderate @entity447 or type 2-3 @entity2880 ). Desmopressin was used in good responders with mild @entity447 , type 1 @entity2880 , and @entity1423 . Local hemostatic measures and antifibrinolytic treatment were used systematically. RESULTS: Ninety-three @entity1 underwent 103 dental extractions; 2 of these @entity1 had secondary @entity548 requiring surgical hemostasis. CONCLUSION: The indication for replacement therapy depended on the type of anesthesia that was used. Coagulation factor concentrates or desmopressin were necessary to avoid upper airway @entity1410 with general anesthesia or nerve trunk infiltration. With local anesthesia, substitutive treatment was indicated in @entity1 with severe-to-moderate @entity447 and type 2-3 @entity2880 . Inexpensive desmopressin was effective in those who responded well. Local hemostatic measures and antifibrinolytic treatment were performed systematically.
