This advisory document aims to dispel a number of myths concerning the management of patients with congenital bleeding disorders.
Although patients with congenital bleeding disorders have an increased risk of significant bleeding from invasive dental and oral surgery procedures the majority of routine non-surgical dental treatment can be provided in a general dental practice or within the community and salaried dental service.
Successful management involves close collaboration between haemophilia treaters and dentists and dental treatment should be organised, especially in patients on prophylaxis regimens, to minimise exposure to factor replacement therapy.
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The provision of dental treatment in patients with congenital bleeding disorders has often been neglected. In the 1960s most treatments were performed under general anaesthesia and extraction followed by provision of dentures was often the only treatment plan.
Since the introduction of coagulation factor concentrates and antifibrinolytic agents this is no longer the case.
The advent of new materials, attention to meticulous operative technique, use of local haemostatic agents, and an increasing interest in the prevention of dental problems along with the development of minimally invasive techniques heralds a new era in dental care for patients with congenital bleeding disorders.
°Guidance on the dental management of patients with haemophilia and congenital bleeding disorders
°J. A. M. Anderson / A. Brewer / D. Creagh / S. Hook / J. Mainwaring / A. McKernan / T. T. Yee & C. A. Yeung