title: Special care dentistry: part 3. Dental management of patients with medical conditions causing acquired bleeding disorders.
abstract: The second paper in this three part series discussed the dental management of patients with drug-related acquired bleeding disorders. This paper will discuss and outline the dental management of patients with acquired bleeding disorders that can result from medical conditions. Again, these may be associated with vascular defects, platelet defects or coagulation defects. In an age when people are living longer, and medical interventions are continually becoming more advanced, clinicians will need to be aware of systemic disorders and treatments that may cause complications in the dental setting.
  
  
  CONCLUSIONS
  Being able to recognize which medical conditions, including their management, may cause bleeding problems at an early stage will lead to good patient management, particularly in planning and delivering treatment involving any invasive dental procedures that can cause bleeding. Whilst most patients can be successfully treated in general dental practice, the clinician may need to make a decision on whether or not to refer a patient to specialist services for all dental treatment, or to share care between primary care and specialist services.
authors.affiliation: Department of Sedation and Special Care Dentistry, Floor 26 Tower Wing, Guy's Hospital, London Bridge, London SE1 9RT.
authors.forename: Najla
authors.initials: N
authors.lastname: Nizarali
authors.affiliation: Department of Community Special Care Dentistry, King's College Hospital NHS Foundation Trust, Denmark Hill, London.
authors.forename: Sobia
authors.initials: S
authors.lastname: Rafique
mesh_terms: D016736:Antiphospholipid Syndrome / Q000150:complications; D001855:Bone Marrow Diseases / Q000150:complications; D017742:Dental Care for Chronically Ill; D015658:HIV Infections / Q000150:complications; D006474:Hemorrhagic Disorders / Q000209:etiology / Q000503:physiopathology*; D006487:Hemostasis / Q000502:physiology; D006505:Hepatitis / Q000150:complications; D006801:Humans; D007674:Kidney Diseases / Q000150:complications; D007676:Kidney Failure, Chronic / Q000150:complications; D008107:Liver Diseases / Q000150:complications; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications; D013158:Splenic Diseases / Q000150:complications; D013921:Thrombocytopenia / Q000150:complications