Evaluation and Approach to Indicated Oral Surgery

The proper hematologic, psychological and clinical evaluations, including factor assay, inhibitor level, if any, previous bleeding history, response to previous dental treatment and status of dental health are all essential prior to any oral surgical treatment. In depth explanations of procedure, infusion of missing factor to the 20%-50% level, modified surgical technique and rigid post extraction instruction, have proven to be very effective in the management of oral surgery on hemophiliac patients.