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Caring for Patients With Bleeding Disorders

A bleeding disorder is a condition in which the normal blood clotting process is interrupted due to a deficiency or defect of one or more of the clotting factors necessary to form a blood clot. A deficiency/defect of one or more clotting factors raises the risk for excessive and prolonged bleeding. Symptoms of bleeding disorders include prolonged bleeding, oral bleeding, multiple nosebleeds, heavy menstrual bleeding (menorrhagia), and spontaneous bleeding. Although excessive gingival bleeding is often reported, studies show that this may not be a true symptom of bleeding disorders. The severity of symptoms depends on the amount of clotting factor present in the blood. Due to the risk of increased bleeding, knowledge of bleeding disorders is essential to providing comprehensive care and preventing treatment complications in this patient population.

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Von Willebrand Disease (VWD) is the most rare inherited bleeding disorder.

Von Willebrand blood clot disease Hailshadow / iStock / Getty Images Plus
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VWD presents in roughly what percentage of the world’s population?

Book with diagnosis Von Willebrand disease and pills. designer491 / iStock / Getty Images Plus
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Hemophilia is a relatively rare inherited X-chromosome-linked bleeding disorder that occurs in approximately one in 10,000 births.

World Blood Donor Day vector paper cut background Kumer / iStock / Getty Images Plus
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Patients with bleeding disorders can often be treated in a private dental practice, but treatment considerations must be taken to ensure safe and effective care.

Red eritrosit blood count medical 3D concept ismagilov / iStock / Getty Images Plus
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To avoid intraoral bleeding, oral trauma should be prevented.

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No complications are associated with the use of local anesthesia in patients with bleeding disorders.

capsules for dental anesthesia and syringe, articaine procaine lidocaine mepivacaine in hand, choosing an anesthetic drug Daniil Dubov / iStock / Getty Images Plus
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Oral surgery procedures, including extractions, often place the patient with a bleeding disorder at high risk for severe bleeding.

Vector linear blue round concept of Oral Surgery. Thin line icons of doctor, clinic, teeth implant, tools and medicine SergeyVasutin / iStock / Getty Images Plus
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Intraoral bleeding is rarely a symptom of bleeding disorders.

Empty blood vessel/artery/intestine sankai / iStock / Getty Images Plus
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Caring for Patients With Bleeding Disorders
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This information is from the article Treating Patients With Bleeding Disorders by Stefanie VanDuine, RDH, BSDH, MSDH. To read the article, click here.

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