Sipos Kitti
1 Debreceni Egyetem, Fogorvostudományi Kar, Konzerváló Fogászat nem önálló Tanszék Debrecen Magyarország.
Orv Hetil. 2022 Jun 12;163(24):943-951. doi: 10.1556/650.2022.32491.
Haemophilia A and B are one of the most common inherited bleeding disorders. Nevertheless, people with congenital haemorrhagic diatheses comprise a small proportion of the total population. Therefore, treating such patients can be a challenge for dentists, as most of them have no experience in the dental management of these cases. As a result, dental care is often neglected in this cohort of patients. Despite the potential bleeding risk of the dental procedures, the most routine, non-surgical interventions can be performed in a general dental practice after consultation with a haematologist and in adherence to protocols. A guideline on the possibilities of comprehensive dental treatment of patients with congenital bleeding disorders has not been published in Hungary. Therefore, the purpose of this paper is to review the literature on dental management of patients with haemophilia and to summarize treatment options in all fields of dentistry. This systematic review of the literature may be useful for dentists to treat patients with haemophilia more confidently and to overcome the difficulties in dental care. The article also provides professionals involved in the management of haemophilia with a practical summary of dental interventions.
甲型和乙型血友病是最常见的遗传性出血性疾病之一。然而,先天性出血性素质患者在总人口中所占比例较小。因此,治疗此类患者对牙医来说可能是一项挑战,因为他们中的大多数人没有处理这些病例的牙科管理经验。结果,这一患者群体的牙科护理常常被忽视。尽管牙科手术存在潜在的出血风险,但在与血液科医生协商并遵守方案后,大多数常规的非手术干预可以在普通牙科诊所进行。匈牙利尚未发布关于先天性出血性疾病患者全面牙科治疗可能性的指南。因此,本文的目的是回顾关于血友病患者牙科管理的文献,并总结牙科各领域的治疗选择。对文献的这一系统综述可能有助于牙医更自信地治疗血友病患者,并克服牙科护理中的困难。本文还为参与血友病管理的专业人员提供了牙科干预的实用总结。