학술논문

A Patient with Protein S Deficiency and a Clinical History of Deep Venous Thrombosis who Underwent Removal of an Impacted Mandibular Third Molar: a case report / 深部静脈血栓症の既往があるプロティンS欠乏症患者の下顎智歯抜歯の経験
Document Type
Journal Article
Source
日本口腔診断学会雑誌 / Japanese Journal of Oral Diagnosis / Oral Medicine. 2015, 28(1):31
Subject
International normalized ratio (PT-INR)
antithrombotic therapy
deep vein thrombosis (DVT)
mandibular third molar
protein S deficiency
プロティンS欠乏症
プロトロンビン時間
下顎智歯
抗血栓療法
深部静脈血栓症
Language
Japanese
ISSN
0914-9694
2188-2843
Abstract
The Japanese show protein S deficiency more frequently than other congenital causes of thrombosis. Protein S deficiency is considered the highest risk factor for venous thromboembolism in Japanese patients. Because any trauma, surgery, or infection can cause thrombosis in patients with protein S deficiency, careful oral surgical treatment is essential. Conversely, with few reports of oral surgical treatment for this disorder, many issues remain unclear. We successfully extracted an impacted mandibular third molar in a young patient with this disorder and a history of deep venous thrombosis. The patient was hospitalized for the extraction, and the procedure was performed with consideration of hemostasis and prevention of thrombosis relapse.

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