The oral condition of the human being is characterized by episodes of tooth loss and damage of the gums which leads to bleeding. Keeping the gums and the teeth healthy usually requires procedures that are invasive ( prone to injury). One can just imagine the gravity of the situation to people with hemophilia. That is why one can find numerous studies and researches about the
People with hemophilia or congenital bleeding tendencies are a priority group for dental and oral health care, since bleeding after dental treatment may cause severe or even fatal complications. Maintenance of a healthy mouth and prevention of dental problems is of great importance, not only to quality of life and nutrition but also to avoid the dangers of surgery. .
Plaque accumulation causes inflammation of the gums (gingivitis) due to the action of bacteria. This may progress to the damage of the attachment of the teeth to the jawbone (periodontal membrane) resulting to inflammation and damage to this membrane (chronic periodontitis). Ultimately, this leads to the loosening of a tooth and then tooth loss. With the plaque allowed to calcify, tartar develops above and/or below the gum-line making further accretion of plaque result to Fig 2. The Parts of A Tooth
Gingivitis is painless but leads to the ...
Thru the process of prophylaxis or cleaning of the teeth and gums by the doctor, gingivitis can be prevented thereby limiting bleeding of the gums and eliminating the need for surgery. This can be seen as a pro-active step rather than waiting for the gums to bleed and make use of factor concentrates to stop the bleeding.
The treatment of hemophilia has been undergoing significant innovations since the development of factor VIII concentrates. The current trend of thinking is that prophylaxis is a beneficial therapy for patients with hemophilia A as compared to on-demand treatment. The observed benefits include reduced number of bleeding episodes, improved joint function and a relatively healthier patient. Hoots et al reviewed the literature about the topic and weighed the value of these benefits against the increased expense due to increased factor use. (Hoots et al, 2006)
How Is Dental Surgery Performed To A Hemophiliac
Performing dental surgery on a hemophiliac patient, even for a simple dental extraction, must be thoroughly planned such that the risk of bleeding, hematoma formation or excessive bruising is minimized. To prevent any problems or complications, the two following points must be realized:
Rarely will emergency dental surgical intervention be required as control of pain can be registered without resorting to an unplanned treatment.
Discussions with Hemophilia patients requiring prophylactic cover concerning the treatment plans must be done
For those suffering from severe hemophilia, factor replacement is a necessary pre-surgery procedure along with regional block injections or scaling. Those suffering from hemophilia A usually require a dose of 50 iu/kg of factor VIII and a dose of 100 iu/kg of factor IX in hemophilia