An audit of dental procedures in patients with inherited bleeding disorders at the Charlotte Maxeke Academic Hospital Haematology Unit

Mahlangu, Sibongile Priscilla
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Background: Patients with inherited bleeding disorders have an elevated risk of bleeding, in which even relatively minimal invasive procedures can cause continuous bleeding. Aim and study design: The aim of this study was to review dental procedures performed over a 16 year period in patients with inherited bleeding disorders (IBD) at the Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), and to compare the treatment approach to published international guidelines. Method: The study population comprised of patients’ files obtained from the Haemophilia Comprehensive Care Centre (HCCC) and Wits Oral Health Centre (WOHC) database. Results: Dental extraction was the most commonly performed procedure. Post-extraction bleeding was observed in 3 subjects, and the protocol observed for the management of these correlated with those published. Conclusion: A standard protocol for the dental management of IBD patients needs to be put in place in WOHC to ensure uniformity of clinicians, and compliance with the published protocols
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in partial fulfillment of the requirements for the degree of Master of Science. Johannesburg, 26 July 2017
Inherited Bleeding Disorder