Dental Care in Hemophilia

• Patients with congenital bleeding disorders have an increased risk of bleeding from invasive dental and oral surgery procedures and require pre-treatment with factor concentrate
  • Block injections
  • Tooth extraction
  • Intubation
• Factor concentrate should be given as near to the time of extraction as possible
• Oral anti-fibrinolytic therapy is used for 7 days to allow healing of the mucous membrane and prevent re-bleeding following an extraction.
• Routine cleanings do not require intervention therefore can be provided in a general dental practice
• Successful management involves close collaboration between hematologists, hemophilia treatment centers (HTCs), and dentists

 

Celynda G. Tadlock, PharmD, MBA Vice President, Pharmacy Business Development Aetna Anderson JAM, et al. Br Dental J. 2013;215:497-504.