Cirugía guiada. Otra herramienta en el tratamiento implantológico en pacientes con enfermedad de Von Willebrand y otras coagulopatías
- Ignacio García Gil
- Juan Antonio Valero Palacios
- Alberto Rico
- María José Jiménez García
- Jaime Jiménez García
ISSN: 1697-6398, 1697-641X
Any de publicació: 2015
Volum: 12
Número: 3
Pàgines: 77-80
Tipus: Article
Altres publicacions en: Científica dental: Revista científica de formación continuada
Resum
Von Willebrand disease is a bleeding disorder caused by a deficiency or malfunction of von Willebrand factor, which in turn affects the stabilization of Factor VIII clotting. The aim of this study was to evaluate whether the guided surgery for dental implants reduces postoperative bleeding in patients with this disease. A 57 year old woman with von Willebrand disease, he makes the splint with Nemotec® guided surgery system (Madrid, Spain) for implants 2.4, 2.5 and 2.6. It is also the preventive measures used to prevent bleeding (500 mg Amchafibrin® rinses 10 minutes presurgical and maintain for 48 hours 4 minutes 1-1-1) guided surgery in order to prevent further bleeding. The patient had no complications. At 3 months we started with the prosthetic phase and the year was cited not presenting any complications. In conclusion we can say that guided surgery appears to be an extra help besides preventive measures to avoid excessive bleeding in patients with von Willebrand disease. However, further studies to determine if it really is a help is needed.