Abstract

MAHLANGU, SP; MAHLANGU, J  and  SHANGASE, SL. Dental management of patients with inherited bleeding disorders: a retrospective study. S. Afr. dent. j. [online]. 2018, vol.73, n.8, pp.500-506. ISSN 0375-1562.  http://dx.doi.org/10.17159/2519-0105/2018/v73no8a3.

INTRODUCTION: Minor invasive procedures can precipitate a prolonged bleeding episode in patients who have inherited bleeding disorders (IBD). Protocols have been established to minimize this postoperative bleeding, and the management of dental procedures performed on patients with IBD have been reviewed internationally. This paper undertakes a review of the topic and is probably the first of this nature in South Africa AIM AND STUDY DESIGN: This retrospective study reviewed dental procedures performed over a 16-year period on patients with IBD at the Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), and compared those treatment approaches with published international guidelines. METHODS: The data were extracted from the files of patients seen at the Haemophilia Comprehensive Care Centre (HCCC) and from the Wits Oral Health Centre (WOHC) database at CMJAH RESULTS: Dental extractions accounted for 58% of dental procedures performed.Local haemostatic agents were used in 42% of the study population Postoperative bleeding was observed in three subjects, and the management of these correlated with the published guidelines. CONCLUSION: In this single centre review, bleeding following dental procedures was infrequent. The recommended improvements include greater use of preventive and supportive dental procedures; and administration of local haemostatic agents in invasive procedures

Keywords : Inherited bleeding disorders; Haemophilia; Von Willebrand Disease.

        · text in English     · English ( pdf )