Do hemophiliacs have a higher risk for dental caries than the general population?

Abstract

Better dental health was observed in children with hemophilia as compared to children without it. There were no differences in dental health between adult hemophiliacs and healthy controls from the general population. None of the linear multiple regression models confirmed hemophilia to be an additional caries risk when it was controlled for other caries determinants.

Parent’s report on oral health‐related quality of life of children with haemophilia

“…The findings of caries experience of this study are different from the studies among Lithuanian children, North Ireland children and Polish children, showing higher decay. 9,18,19 The importance of primary dentition must be added to agenda of oral health education of children with haemophilia thus children with haemophilia still in need of additional medication or prophylaxis for the treatments of primary dentition, such as extraction and preventive treatments under block anaesthesia techniques. 20 The frequency of brushing was lower in haemophilic group; this was a similar finding with previous studies, showing classical oral hygiene instruction by dental team alone is not sufficient for children with haemophilia.…”

“…Poor oral health is considered the major risk factor of bleeding from oral region in children with coagulation disorders and results dental treatments which encompasses bleeding associated procedures . The reason why some patients with haemophilia and their caregivers may avoid tooth brushing particularly when they notice gum bleeding is because for some haemophiliacs even minor trauma such as tooth brushing, trauma from eating or infection can cause gingival bleeding . Another reason can be a result of a well‐known situation that children with chronic childhood diseases are more prone to developing oral diseases.…”

“…4,8 The reason why some patients with haemophilia and their caregivers may avoid tooth brushing particularly when they notice gum bleeding is because for some haemophiliacs even minor trauma such as tooth brushing, trauma from eating or infection can cause gingival bleeding. 9 Another reason can be a result of a wellknown situation that children with chronic childhood diseases are more prone to developing oral diseases. The cause of the problem is probably due to the prolonged hospital stay that may interrupt with daily oral hygiene practices and treats given by well-meaning relatives that may be of more cariogenic in nature.…”

Орално Здраве При Хемофилия

“…Контролните групи са избрани на случаен принцип в съответствие със случаите с хемофилия, основани на пол, възраст и местоживеене и др. [3][4][5][6][7].…”

“…Основните заболявания -зъбен кариес и гингивит/ пародонтит, засягащи пациентите с хемофилия, не се Диаграма 1. Етапи на систематичното търсене различават значимо от тези, които засягат останалата част от населението [5,7,8]. Има проведени малко на брой проучвания върху аспектите на оралното здраве при пациенти с хемофилия (Таблица 1.)…”