title: Consensus statement by hospital based dentists providing dental treatment for patients with inherited bleeding disorders.
abstract: Avoidance of dental care and neglect of oral health may occur in patients with inherited bleeding disorders because of concerns about perioperative and postoperative bleeding, but this is likely to result in the need for crisis care, and more complex and high-risk procedures. Most routine dental care in this special needs group can be safely managed in the general dental setting following consultation with the patient's haematologist and adherence to simple protocols. Many of the current protocols for dental treatment of patients with inherited bleeding disorders were devised many years ago and now need revision. There is increasing evidence that the amount of factor cover previously recommended for dental procedures can now be safely reduced or may no longer be required in many cases. There is still a need for close cooperation and discussion between the patient's haematologist and dental surgeon before any invasive treatment is performed. A group of hospital based dentists from centres where patients with inherited bleeding disorders are treated met and, after discussions, a management protocol for dental treatment was formulated.
authors.affiliation: Dental Unit, The Alfred Hospital, Melbourne, Victoria, Australia. ihewson@bigpond.net.au
authors.forename: I D
authors.initials: ID
authors.lastname: Hewson
authors.forename: J
authors.initials: J
authors.lastname: Daly
authors.forename: K B
authors.initials: KB
authors.lastname: Hallett
authors.forename: S A
authors.initials: SA
authors.lastname: Liberali
authors.forename: C L M
authors.initials: CL
authors.lastname: Scott
authors.forename: G
authors.initials: G
authors.lastname: Spaile
authors.forename: R
authors.initials: R
authors.lastname: Widmer
authors.forename: J
authors.initials: J
authors.lastname: Winters
mesh_terms: D000766:Anesthesia, Dental; D000772:Anesthesia, Local; D025861:Blood Coagulation Disorders, Inherited; D001779:Blood Coagulation Factors / Q000627:therapeutic use; D017742:Dental Care for Chronically Ill; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003796:Dental Service, Hospital; D005792:General Practice, Dental; D006405:Hematology; D006801:Humans; D007400:Interprofessional Relations; D019647:Oral Surgical Procedures; D009971:Orthodontics, Corrective; D010510:Periodontal Diseases / Q000628:therapy; D012390:Root Canal Therapy; D014081:Tooth Extraction
chemical_list: D001779:Blood Coagulation Factors; D015921:Dental Implants