00:01
Okay this question says, patient gap is a 21 years old male seeking dental treatment for a badly broken lower fist molar.
00:09
Oral examination displays that 46 can no longer be restored and is needed to be extracted.
00:14
Medical background revealed that the patient has a history of exaggerated bleeding after minor trauma.
00:20
Family history suggests a presence of hemophilia a.
00:30
Laboratory diagnosis indicates the absence of claring factors.
00:35
After consultation with a patient's hematologist and careful treatment planning, surgery will commence.
00:41
To control the bleeding of the hemophiliac patient after extraction, what should the dentist use? well to control the bleeding of a hemophiliac patient after extraction, the dentist should use appropriate claring factors, claring factor replacement therapy.
01:06
Okay the specific claring factor that needs to be replaced depends on the type and severity of the hemophilia.
01:12
Hemophilia a is caused by the presidency of factor viii, so factor viii should be, or practically factor viii replacement therapy would be necessary.
01:23
The hematologist would need to provide guidance on the specific dosage and administration of the factor viii replacement therapy.
01:31
In addition to claring factor replacement therapy, the dentist may also use other measures to help control bleeding, such as for example suturing the extraction site and applying pressure.
01:42
The next case says a patient's being a healthy female patient had an accident involving her central incisor which was abused and can no longer be replanted.
01:53
She came in your clinic with a bleeding socket site.
01:58
After cleaning and inspecting the socket site, it is clear that there is no blood vessel injury.
02:04
To control bleeding, what should the dentist do? so in this case, the bleeding is most likely due to trauma to the sites or to the tissue surrounding the socket site.
02:15
The dentist can take the following steps to control bleeding.
02:19
First you're gonna have direct pressure.
02:26
Okay apply pressure to the socket site using a clean gauze or cloth...