1998 年 44 巻 12 号 p. 1005-1007
In this report, tooth extraction in a patient with congenital factor V deficiency is described.
During transfusion of fresh frozen plasma (FFP), a wisdom tooth was extracted. The tooth socket was filled with thrombin powder and packed with periodontal dressing material and acrylic splints. On the next day, the patient again recived FFP. For extraction of an upper third molar, FFP was used as descrived above, and for local hemostatic management the extraction socket was applied an atelocollagen sponge soaked in liquid thrombin. A blood factor V level of 20% ensures adequate hemostasis.