LETTERS TO THE EDITOR
THE JOURNAL devotes th is section to com m ent by readers on to p ics of current interest to den tistry. The e d ito r reserves the righ t to edit all com m unications to fit available space and requires tha t all letters be signed. P rinted com m unications do not necessarily reflect the opinion or o f ficia l po licy of the A ssociation. Your pa rticipation in th is section is invited.
S F D S offers C P R certification ■ T he San F rancisco D ental Society C P R team applauds the efforts of the C entre C ouniy (Pa) D ental Society in certifying 21 o f its m em bers in cardio pulm onary resuscitation (N ovem ber
com ponent or constituent societies that wish to establish program s of their own in lifesaving C P R . HERBERT L. BRONSON, DDS SFDS CPR TEAM SAN FRANCISCO
j a d a ).
Fortunately, the C entre County ef fo rt is not the first of its kind. T he San F rancisco D ental Society has been presenting com prehensive courses leading to certification as C P R basic rescu er since N ovem ber 1975. O ur team of eight dentists and den tal hygienists has certified over 250 dentists and auxiliaries within our own com ponent. T his has been ac com plished through an ongoing pro gram of regular m onthly courses. We recently provided our services to the N orthern Scientific Session of the California D ental A ssociation. One hundred and eighty dentists and auxil iaries were certified in C P R as a result o f that program. O ur expanding program has, as its goal, the certification of the vast ma jority of members of our dental com munity in cardiopulm onary resusci tation. We will be pleased to assist other
A pleasing article ■ A s a dentist and oral surgeon re sponsible for the dental care of a large hem ophilic population at the Interna tional Training C en ter for H emophilia at the M ount Sinai M edical C enter in N ew Y ork, I was pleased to see the article, “ T he use o f epsilon-aminocaproic acid for the m anagem ent of hem ophilia in dental and oral surgery p atien ts,” in the Septem ber j o u r n a l (page 586). H ow ever, despite im proved under standing of blood coagulation and de spite m ajor advances in the manage m ent of the bleeding disorders, hem o philia patients still do not receive op tim al dental treatm ent. T he recent literature has docum ented the current safety in oral surgery treatm ent for these patients, indicating significant progress. U nfortunately, these re ports prim arily have focused on den tal extractions rath er than conserva
tion of the dentition and prom otion of oral health. A dm ittedly, m any such patients do require oral surgery to correct long-standing dental neglect. H ow ever, the dental profession must be made aw are of the possibilities in general dental treatm ent for hem o philiacs, such th at dentistry will not appear to be constantly advising ex tractions for these patients. C urrent m odes o f therapy enable us to manage bleeding crises successfully should they occur. Considering routine general dental treatm ent, bleeding situations are un com m on. T he m ost im portant pre caution concerns the adm inistration o f block anesthetics. C onsequently, quality com prehensive dental treat ment should be available for hem o philia patients. BRUCE E. EVANS, DMD NEW YORK CITY
D isagrees with grouping ■ I read with interest the article of D rs. J. K. Johnson, N. L. Schw artz, and R. T. Blackwell in the Septem ber j a d a (page 597) and noted particu larly their referral to screw posts used JADA, Vol. 94, January 1977 ■ 21