What is hemophilia?
Hemophilia is a X linked recessive disorder where blood doesn’t clot properly due to deficiency of Factor VIII (Hemophilia A) or Factor IX (Hemophilia B).
What happens in Hemophilia?
People with hemophilia, have prolonged clotting time than normal because the clotting process is incomplete.
This can cause:
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Excessive bleeding after minor injuries.
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Joint bleeding (Hemarthrosis) and muscle bleeding.
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Prolonged bleeding after dental extraction/ normal exfoliation of teeth
Normal dental exfoliation and Hemophilia
In patients with hemophilia, normal exfoliation of teeth can raise serious concerns. As it may lead to prolonged bleeding from the socket and can cause parent’s anxiety.
Simple measures that can prevent prolonged bleeding:
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Gentle pressure with clean gauze
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Cold application
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Avoid frequent spitting
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Apply teabags in the socket area as tea leaves contains tannins which promotes clot formation.
Role of dentist: Rubber band extraction
Dentist plays a crucial role in preventing bleeding complications. Rubber band extraction can be safely used in selected cases to loosen the primary teeth, which helps the dentist to do a safe and atraumatic extraction procedures.
Why oral health must be a part of hemophilic care
Good oral hygiene prevents many dental complications and prevents blood loss. Oral hygiene, early dental visits and family education are the key to reduce bleeding risks in hemophilic patient.
Is oral health the silent factor we keep missing in comprehensive hemophilic patient care?
MBH/PS