title: Special care dentistry: part 1. Dental management of patients with inherited bleeding disorders.
abstract: The most common cause of excessive bleeding is idiopathic, but bleeding can also be caused by inherited or acquired conditions associated with vascular defects, platelet defects or coagulation disorders. This paper will cover inherited bleeding disorders. Every clinician will encounter a patient who complains of prolonged bleeding following certain procedures; most commonly dental extractions. In the majority of cases the cause is often a local one and can be managed using simple local measures. However, prolonged post-operative bleeding following dental treatment might be one of the first signs of a bleeding disorder in an undiagnosed patient, necessitating referral for further investigations. Some patients may present with an already confirmed diagnosis of a bleeding disorder, requiring appropriate treatment planning and dental management in an appropriate setting with haematological advice. This paper will provide guidance on how to achieve this.
  
  
  CONCLUSIONS
  To update clinicians on the dental management of patients with inherited bleeding disorders and how to decide the most appropriate setting for the provision of dental care.
authors.affiliation: King's College London Dental Institute, Department of Community Special Care Dentistry, King's College Hospital NHS Foundation Trust.
authors.forename: Sobia
authors.initials: S
authors.lastname: Rafique
authors.forename: Janice
authors.initials: J
authors.lastname: Fiske
authors.forename: Guy
authors.initials: G
authors.lastname: Palmer
authors.forename: Blanaid
authors.initials: B
authors.lastname: Daly
mesh_terms: D025861:Blood Coagulation Disorders, Inherited / Q000150:complications; D001791:Blood Platelet Disorders / Q000235:genetics; D017742:Dental Care for Chronically Ill; D006467:Hemophilia A / Q000150:complications; D006474:Hemorrhagic Disorders / Q000150:complications / Q000175:diagnosis / Q000235:genetics*; D006801:Humans; D010347:Patient Care Planning; D019106:Postoperative Hemorrhage / Q000209:etiology; D014652:Vascular Diseases / Q000235:genetics