Access to dental care for people with bleeding disorders: survey results of hemophilia treatment centers in the U.S.

Abstract

Improvement in oral health for persons with bleeding disorders requires appropriate education for providers, patients and families. Additionally, both public and private health funding must be re-evaluated as it relates to people with bleeding disorders.

Inherited bleeding disorders in oral procedures. Assessment of prophylactic and therapeutic protocols: a scoping review

“…caries and gingivitis) 22,23 . However, the oral health of patients with IBDs over their lifetime is sometimes neglected due to several reasons, including financial issues and difficulties in finding a dentist willing to treat these patients 24 . The refusal to treat patients with IBDs might be related to the lack of standardization of treatment and prophylactic protocols, type of anaesthesia, or need for patient admission in hospital settings, which were evidenced by our study.…”

Dental habits and oral health in children and adolescents with bleeding disorders: A single‐institution cross‐sectional study

“…With 17% of patients in this study having a Frankl Scale of either negative or definitely negative, it is evident that there is opportunity to improve dental care through alleviating anxiety. Behavioural guidance is advocated by the AAPD for improving patient attitudes toward dental care, and there may be a role for HTCs to utilize these techniques to help patients overcome anxiety and improve oral care compliance 2,14 …”

“…Surveys completed by the HTCs revealed the most significant barriers to dental care include lack of providers willing to treat patients with bleeding disorders, finances and anxiety surrounding dental work. 2 Targeting patients at the highest risk for poor oral health would improve overall dental outcomes in this population while allowing for proper resource allocation at HTCs. Studies have revealed that barriers to dental care exist in this patient population, and that HTCs are interested in improving care;, however, there has not been an investigation into specific patient characteristics that may put them at increased risk for poor oral health.…”

“…Studies have revealed that barriers to dental care exist in this patient population, and that HTCs are interested in improving care;, however, there has not been an investigation into specific patient characteristics that may put them at increased risk for poor oral health. 2 It is well established that visible plaque is a very strong indicator for risk of caries development having a reported sensitivity of 83% and specificity of 92%; therefore utilizing data from an intraoral exam along with identifying high-risk individual characteristics could improve the ability to stratify those at higher risk of poor oral health. 8 The objective of this study was to evaluate the dental habits, needs and oral health status of paediatric patients seen at the Haemophilia of Georgia Centre for Bleeding and Clotting Disorders of Emory, to identify predictive characteristics that indicate a higher risk for poor oral health.…”

Use of Erbium Laser in the Treatment of a Patient with Acute Purulent Periostitis and a Resistant Form of Primary Immune Thrombocytopenia

“…Schaffer et al in 2016 have reported about the results of their study; they identified major barriers to performing oral care to people with bleeding disorders such as the economic side of treatment, which is highest in the list of reasons for the lack of access to dental care. Lack of skilled dentists and the anxiety of patients themselves were also a huge problem, although a significant number of doctors have expressed a desire to have the opportunity and skills to provide good oral health outcomes to their patients [6].…”