Abstract
Glanzmann's thrombasthenia is a rare congenital platelet disorder characterized by prolonged bleeding time, qualitative platelet defect, and severe hemorrhagic episodes. Patients with this disorder have been managed by transfusion of whole blood and blood components (most recently, Platelet-rich plsma and platelet concentrates) to control hemorrhage resulting from trauma or surgical procedures.
In this paper, we reported the experience of tooth extraction of patient with thrombasthenia. A 31-year-old woman visited our department on May, 1992, complaining of tooth pain. The gingival bleeding was seen from the upper and lower left molars. Three tooth were extracted as atraumatically as possible under general anesthesia. Before and after operation, ten units of platelet concentrates were transfused. Then, we used leucocyte-removal filters on platelet transfusion. As local hemostatic treatment, we used Oxycel(R) and a resin sprint. No postoperative hemorrhage was observed, and the surgical site healed normaly.
