Specialty dentistry for the hemophiliac: is there a protocol in place?

Indian J Dent Res. Apr-Jun 2007;18(2):48-54. doi: 10.4103/0970-9290.32419.

Abstract

Restorative dental care for the hemophiliac patient is of paramount importance for the fact that advanced dental conditions and subsequent treatments prove to be more complicated and risky. Quite often, dental health is neglected by hemophiliacs for fear of bleeding during procedures. Surprisingly, even dental specialists avoid these candidates and contribute to the conversion ofa simple dental patient to an oral surgical patient. The complexities involved in diagnosing a bleeding disorder and the rarity of a standardized protocol to handle such patients contribute to this problem. This article prescribes a simple protocol to diagnose bleeding disorders and a modified scheme for endodontic and periodontal therapy in a hemophiliac patient.

Publication types

  • Review

MeSH terms

  • Clinical Protocols
  • Dental Care for Chronically Ill / methods*
  • Dental Restoration, Permanent / methods
  • Endodontics / methods*
  • Hemophilia A / complications
  • Hemophilia A / diagnosis
  • Hemophilia A / therapy*
  • Humans
  • Oral Hemorrhage / etiology
  • Oral Hemorrhage / prevention & control*
  • Patient Care Planning
  • Periodontics / methods*
  • Severity of Illness Index