17. Uluslararası Türkiye Hemofili Kongresi, İstanbul, Turkey, 18 - 20 December 2020
Prevalence of oral diseases in patients with inherited bleeding disorders
Aim: In the dental treatment of patients with bleeding disorders, coordination with the patients' hematologist is always the first step before any dental procedure. While writing the consultation, risk assessment is made by specifying the oral disease to be treated. The most common oral diseases in hemophilia patients are dental caries and gingivitis/periodontitis. Subsequently, acute and chronic abscesses, impacted teeth, orthodontic problems and pain are seen. In this study, our aim is to report the prevalence of oral diseases in patients with bleeding disorders who applied to our clinic.
Method: 50 adult patients referred to Istanbul University, Faculty of Dentistry were evaluated. Necessary treatments were applied after the indications made as a result of the clinical and radiographic examinations of the patients. The treatments applied are in the table below.
Results: Dental caries and gingivitis are the most common oral diseases encountered in evaluated patients. The most common treatments are dental restorations, root canal treatment and ultrasonic scaling in parallel. The number of tooth extractions due to tooth decay is 36 (the other 3 teeth are due to pericoronitis), dental restorations is 77 and root canal treatment is 28. The number of treatment needs due to gingivitis / periodontitis is 22.
Conclusion: The fear of bleeding that may occur during daily dental care in patients with bleeding disorders increases the development of dental caries, gingivitis and periodontitis in these patients. In order to prevent this and reduce the need for further treatment, motivation for oral hygiene must be provided and preventive practices must be prioritized from an early age.