title: Guidance on the dental management of patients with haemophilia and congenital bleeding disorders.
abstract: Recommendations for dental preventive strategies and treatment planning were originally developed through consensus meetings by the Scottish Oral Health Group for Medically Compromised Patients and published in 2003 as a Guideline. The United Kingdom Haemophilia Centre Doctors' Organisation (UKHCDO) Dental Working Party has updated these recommendations following the AGREE II approach (www.agreetrust.org), involving a literature search, a review of national and international guidelines and after seeking the opinions of haemophilia treaters in the United Kingdom by an online survey. Where possible, evidence from the literature is graded according to the 'GRADE' system (www.bcshguidelines.com/bsch_process/evidence_levels_and_grades_of_recommendations/43_grade.html); however, overall there is a lack of robust data and most studies have methodological limitations. The objective of this guidance, which is largely consensus-based, is to assist dental practitioners in primary and secondary care to provide routine dental care for patients of all ages with congenital bleeding diatheses in order to improve overall access to dental care. The guidance may not be appropriate in all cases and individual patient circumstances may dictate an alternative approach. Date for guideline review: May 2016.
authors.affiliation: On behalf of the United Kingdom Haemophilia Centre Doctors' Organisation (UKHCDO) Dental Working Party.
authors.forename: J A M
authors.initials: JA
authors.lastname: Anderson
authors.forename: A
authors.initials: A
authors.lastname: Brewer
authors.forename: D
authors.initials: D
authors.lastname: Creagh
authors.forename: S
authors.initials: S
authors.lastname: Hook
authors.forename: J
authors.initials: J
authors.lastname: Mainwaring
authors.forename: A
authors.initials: A
authors.lastname: McKernan
authors.forename: T T
authors.initials: TT
authors.lastname: Yee
authors.forename: C A
authors.initials: CA
authors.lastname: Yeung
mesh_terms: D001778:Blood Coagulation Disorders / Q000503:physiopathology / Q000517:prevention & control; D001779:Blood Coagulation Factors / Q000627:therapeutic use; D017742:Dental Care for Chronically Ill; D004638:Emergency Treatment; D006297:Health Services Accessibility; D006467:Hemophilia A / Q000503:physiopathology / Q000517:prevention & control; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D017410:Practice Guidelines as Topic; D006113:United Kingdom; D058106:Wound Closure Techniques
chemical_list: D001779:Blood Coagulation Factors; D006490:Hemostatics