Evaluation Of Effectiveness Of Four Different Topical Haemostatic Agents In Children Undergoing Extraction Of Primary Teeth: Randomised Clinical Trial

Abstract

Aims & Background: The majority of pediatric patients are naturally fearful around blood, so one of the more disruptive situations that occurs in the pediatric dental office is with an extraction of a child who may have developed anxiety or fear before, during, or right after the exodontia procedure. The aim of the present study was to compare the efficacy of varying topical hemostatic agents in the management of bleeding in pediatric dental extraction.
Materials and Methods: After obtaining an Institutional ethical clearance ,100 subjects undergoing extraction of primary teeth were included. Children was assessed and randomly divided into Five groups. Group I (n=20): Chitosan, Group II (n=20): Green tea bags, Group III (n=20) : Tranexamic acid, Group IV (n=20): Botroclot and Group V (n=20): Control group. The extraction procedure was followed by evaluation of efficacy of the each material.
Results: It was observed that fastest stoppage of bleeding was observed in Tranexamic acid and all other topical hemostatic agents showed significantly reduced bleeding time and were clinically effective in controlling hemorrhage from the extraction site in children.
Conclusion: Tranexamic acid produced significant reductions in time and were clinically effective in controlling hemorrhage from the extraction site in children with special health care needs.
Clinical significance: In addition to hemophobia, other anxiety-inducing factors related to the extraction appointment, such as needle phobia, dental anxiety passed down from parents or siblings, fear of strangers or losing control all contribute to the increased anxiety to overcome we have conducted a study.