title: When a patient with a bleeding disorder needs dental work. How you can work with the dentist to prevent a crisis.
abstract: Patients with bleeding disorders need close cooperation between their physician and their dental practitioner to receive safe, comprehensive dental care. When indicated, physicians must advise a compromised treatment plan to avoid deep injections or surgical procedures that may initiate a bleeding crisis in patients at risk. The conditions most commonly seen that require special consideration are long-term use of antithrombotic agents, platelet dysfunction caused by chronic renal failure, and congenital clotting factor deficiencies. Even these patients may undergo a high-risk procedure, such as periodontal surgery, with adequate precautions and preparation.
authors.affiliation: Department of Restorative Dentistry, Medical College of Georgia School of Dentistry, Augusta 30912.
authors.forename: W F
authors.initials: WF
authors.lastname: Caughman
authors.forename: B P
authors.initials: BP
authors.lastname: McCoy
authors.forename: A L
authors.initials: AL
authors.lastname: Sisk
authors.forename: C L
authors.initials: CL
authors.lastname: Lutcher
mesh_terms: D001778:Blood Coagulation Disorders / Q000150:complications* / Q000188:drug therapy; D003814:Dentistry, Operative; D005343:Fibrinolytic Agents / Q000009:adverse effects; D006467:Hemophilia A / Q000188:drug therapy; D002836:Hemophilia B / Q000188:drug therapy; D006801:Humans; D012307:Risk Factors; D014076:Tooth Diseases / Q000150:complications* / Q000628:therapy; D014842:von Willebrand Diseases / Q000188:drug therapy
chemical_list: D005343:Fibrinolytic Agents