S
upporting
Y
our
P
ractice
Advice
•
Consider thepossibility that bleedingdisordersmayfirst
manifest inadental setting. Refer thepatient toanoral
pathologist or physician if is there is anyclinical suspicion.
•
Most dental carecanbeprovidedwithminimalmodifica-
tion for patientswitha knownbleedingdisorder; consult
with their physicianor hematologist if indoubt.
•
Basedon thenatureand severityof ableedingdisorder
and the typeof dental procedure, caremaybemost ap-
propriate inahospital setting.
SuggestedResources
1.NematullahA,AlabousiA,BlanasN,DouketisJD,SutherlandSE.Dentalsurgery forpatientson
anticoagulanttherapywithwarfarin:asystematicreviewandmeta-analysis.JCanDentAssoc.2009;75(1):41.
2.GuptaA,EpsteinJB,CabayRJ.Bleedingdisordersof importance indentalcareandrelatedpatient
management.JCanDentAssoc.2007;73(1):77-83.