Special Care Dentistry: Part 2. dental management of patients with drug-related acquired bleeding disorders.

@article{Nizarali2013SpecialCD,
  title={Special Care Dentistry: Part 2. dental management of patients with drug-related acquired bleeding disorders.},
  author={Najla Nizarali and Sobia Rafique},
  journal={Dental update},
  year={2013},
  volume={40 9},
  pages={
          711-2, 714-6, 718
        }
}
UNLABELLED The first of this series of three articles discussed the dental management of patients with inherited bleeding disorders. This paper will discuss and outline the dental management of patients with acquired bleeding disorders that can result from drug therapy. These may be associated with vascular defects, platelet defects or coagulation defects. In an age when people are living longer, and medical interventions are continually becoming more advanced, clinicians will need to be aware… 
View on PubMed
exodontia.info
10 Citations
Background Citations
3

10 Citations

Citation Type

Citation Type

Dental Management of Patients With Acquired and Congenital Bleeding Disorders
TLDR
The aim of this paper is to update clinicians on the dental management of patients with acquired or congenital bleeding disorders, and on how to decide the most appropriate setting for safe dental care.
Management of Various Bleeding Problems in Dental Patients: An Approach to Normal Hemostatic System and the Patient's Specific Coagulation Defect
TLDR
Management of various bleeding problems in Dental patients is very critical issue in today clinical practice, and proper dental and medical evaluation of patients is therefore necessary before handling, especially if an invasive dental method is planned.
Dental management of patients with inherited bleeding disorders: a multidisciplinary approach.
TLDR
Dental care providers have to be aware of any signs of bleeding disorders and refer patients for further medical investigations, especially hemophilia A and vWD.
Dual anti-platelet therapy and dento-alveolar surgery. How do we manage patients on anti-platelet medication?
TLDR
This survey confirmed the continued variable management of patients on DAPT undergoing dentoalveolar surgery with reported bleeding rates were low with over 75% of patients not having their D APT treatment interrupted.
Bleeding during and after dental extractions in patients with liver cirrhosis.
Oral and dental management of people with myelodysplastic syndromes and acute myeloid leukemia: A systematic search and evidence-based clinical guidance.
TLDR
All studies that discussed dental procedures in patients diagnosed with myelodysplastic syndromes and/or acute myeloid leukemia showed no specific guidelines were followed; however, all reflected the importance of liaison with the patient's hematoncologist at all stages of MDS and/ or AML therapy.
Anticoagulant effects of phytotherapeutic drugs and their importance in surgical dental procedures
TLDR
Preventive measures, clarification and monitoring of patients taking phytotherapeutic drugs are recommended before performing surgical dental procedures, in order to prevent against complications such as hemorrhage.
Systemic Diseases and Endodontics
  • B. Patel
  • Medicine, Materials Science
  • 2015
Dental practitioners must be aware of common diseases affecting patients and their implications during endodontic manipulation in order to provide a safe and adequate endodontic therapy for these…
Regulation of inflammation by lipid mediators in oral diseases.
TLDR
This article reviews the major classes of Lipid mediators of inflammation, focusing on their biosynthesis and signaling pathways, and their role in systemic and, especially, oral health and disease, and discusses the detection of these LM in various body fluids.
Oral and dental management for people with lymphoma
TLDR
A lymphoma is a solid neoplasm that arises in lymphoid tissues and spreads to distant lymphoid glands and organs and is distinguished from other types of cancer by its geographic spread.

References

SHOWING 1-10 OF 20 REFERENCES
Dental management considerations for the patient with an acquired coagulopathy. Part 2: Coagulopathies from drugs
TLDR
Dental management of patients with potential coagulopathies from medications requires an understanding of basic principles of coagulation and the proper use of laboratory tests.
Current concepts of the management of dental extractions for patients taking warfarin.
TLDR
Improved understanding of the importance of fibrinolytic mechanisms in the oral cavity has resulted in the development of various local measures to enable patients therapeutically anticoagulated with warfarin to be treated on an outpatient basis.
Specialty dentistry for the hemophiliac: is there a protocol in place?
TLDR
A simple protocol to diagnose bleeding disorders and a modified scheme for endodontic and periodontal therapy in a hemophiliac patient is prescribes.
Oral surgery in patients on anticoagulant therapy.
  • C. Scully, A. Wolff
  • Medicine
    Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
  • 2002
TLDR
The management of oral surgery procedures on patients treated with anticoagulants should be influenced by several factors: extent and urgency of surgery, laboratory values, treating physician's recommendation, available facilities, dentist expertise, and patient's oral, medical, and general condition.
Drug interactions in dentistry.
TLDR
Drug interactions relevant to dentistry can for the most part be prevented and how they can be avoided and managed are highlighted.
Dental extractions in patients maintained on oral anticoagulant therapy: comparison of INR value with occurrence of postoperative bleeding.
TLDR
Dental extractions can be performed without modification of oral anticoagulant treatment and local haemostasis with gelatin sponge and sutures appears to be sufficient to prevent postoperative bleeding, according to the International Normalized Ratio value.
Strategies for managing anticoagulated patients requiring dental extractions: an exercise in evidence-based clinical practice.
TLDR
Answering clinical questions using evidence-based methods can be time-intensive, but as one becomes more familiar with the methods, it becomes a fairly straightforward process.
Dental surgery in anticoagulated patients.
  • M. Wahl
  • Medicine
    Archives of internal medicine
  • 1998
TLDR
Although there is a theoretical risk of hemorrhage after dental surgery in patients who are at therapeutic levels of anticoagulation, the risk appears to be minimal, the bleeding usually can be easily treated with local measures, and this risk may be greatly outweighed by the risk of thromboembolism after withdrawal of antICOagulant therapy.
Myths of dental surgery in patients receiving anticoagulant therapy.
  • M. Wahl
  • Medicine
    Journal of the American Dental Association
  • 2000
TLDR
Dentists should recommend that therapeutic levels of anticoagulation be continued for patients undergoing dental surgery, and practitioners should consult with the patient's physician if necessary to determine his or her level of antICOagulation before performing dental surgery.
General medicine and surgery for dental practitioners Part 7: Renal disorders
TLDR
Patients with kidney disorders are increasingly encountered in dental practice due to improvements in medical care leading to prolonged life expectancy, and it is important to have a working knowledge of renal disorders and related problems to provide appropriate and safe dental care.
...
1
2
...