{"id":89,"date":"2023-02-14T13:03:21","date_gmt":"2023-02-14T13:03:21","guid":{"rendered":"https:\/\/new.vwdtest.com\/fn\/?page_id=89"},"modified":"2025-10-09T12:56:10","modified_gmt":"2025-10-09T12:56:10","slug":"vwd-and-denstistry","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/fi\/vwd-and-denstistry\/","title":{"rendered":"VWD AND DENTISTRY"},"content":{"rendered":"<div class=\"default-block container\">\n<h5 class=\"bleeding-symptoms-title dentist\">Patients with bleeding disorders such as haemophilia or <a href=\"https:\/\/vwdtest.com\/fi\/von-willebrand-disease\/\" target=\"_blank\" rel=\"noreferrer noopener\">von Willebrand disease (VWD)<\/a>&nbsp;are at increased risk of oral bleeding, including during routine dental care.<sup>1,2<\/sup> Bleeding may occur even after teeth brushing or flossing, and fear of bleeding may prevent patients from maintaining good oral hygiene and visiting their dentist regularly.<sup>2-4<\/sup> Even patients who visit their dental care provider may feel apprehensive about dental procedures due to previous bad experiences, or concerns that they may not be treated.<sup>4<\/sup> Moreover, many patients with VWD are undiagnosed and unaware that their bleeding is not normal.<sup>5<\/sup><\/h5>\n<\/div>\n\n<img decoding=\"async\" src=\"https:\/\/vwdtest.com\/fi\/wp-content\/uploads\/sites\/68\/2023\/02\/Dentist-button.png\" alt=\"VWD AND DENTISTRY\" class=\"page_thumbnail d-xl-none\">\r\n\n\n<div class=\"default-block container\">\n<p class=\"full\">The risk of bleeding and the resulting anxiety contribute to poor dental health in children and adolescents with bleeding disorders.<sup>2<\/sup> Without adequate education and treatment, these patients may enter a vicious cycle of frequent gum bleeds, neglected dental care and deteriorating oral health.<sup>3<\/sup> To protect their oral health and quality of life, these patients and their caregivers strongly depend on a trusted dental care provider who provides them with education on preventive care and ensures regular check-ups.<\/p>\n<\/div>\n\n<div class=\"default-block container\">\n<h3>The role of dental care providers<\/h3>\n<\/div>\n\n<div class=\"default-block container\">\n<p class=\"full\">As a dental care provider, you are in a unique position to help identify patients who may benefit from further diagnostic evaluation for a bleeding disorder. For many people, visits to their local dentist are the only regular contact with their local healthcare system.<sup>2<\/sup> Moreover, a tooth extraction may often be the first surgery \u2013 and thus major haemostatic challenge \u2013 for many patients. Hence, excessive bleeding during or after such a procedure may be the first opportunity for the diagnosis of an unrecognised bleeding disorder.<\/p>\n<\/div>\n\n<div class=\"default-block container\">\n<p class=\"full\">Diagnosing VWD remains a challenging task due to lack of awareness and the complexity of the diagnostic work-up.<sup>5<\/sup> If you recently observed unexpected bleeding in one of your patients, we recommend that you perform our <a href=\"https:\/\/vwdtest.com\/fi\/take-test\/\" data-type=\"page\" data-id=\"58\">bleeding test<\/a> with your patient. The test will show whether further investigations are indicated \u2013 and could change your patient\u2019s life!<\/p>\n<\/div>\n\n<div class=\"default-block container\">\n<p class=\"full\">As patients with bleeding disorders may avoid dental check-ups due to fear of bleeding, regular follow-up visits should be encouraged to protect the patients\u2019 oral health and quality of life.<sup>4<\/sup> For dental practitioners who wish to treat patients with bleeding disorders, management recommendations are available.<sup>3,6<\/sup> Generally, dental management of patients with VWD is similar to that of haemophilia patients.<sup>3<\/sup> The majority of routine non-surgical treatment can be provided in general dental practice after consultation with a haematologist, especially in patients with mild VWD.<sup>3<\/sup> Only treatment of patients with moderate or severe disease and invasive dental work should be carried out in a hospital setting and according to a treatment plan.<sup>3,6<\/sup><\/p>\n<\/div>\n\n<div class=\"default-block container\">\n<p class=\"full\">To find the closest haemophilia <a href=\"https:\/\/vwdtest.com\/fi\/helpful-resources\/#region\">treatment centre<\/a>, please <a href=\"https:\/\/vwdtest.com\/fi\/helpful-resources\/\">click here.<\/a> vwdtest.com\/fn also offers further information about the <a href=\"https:\/\/vwdtest.com\/fi\/von-willebrand-disease\/\">aetiology<\/a>, <a href=\"https:\/\/vwdtest.com\/fi\/von-willebrand-disease\/\">diagnosis <\/a>and <a href=\"https:\/\/vwdtest.com\/fi\/i-live-with-vwd\/#vwd-management\">management of VWD<\/a>, as well as insight into the typical journey of patients with VWD.<\/p>\n<\/div>\n\n<div class=\"default-block container\">\n<h6>References<\/h6>\n<\/div>\n\n<div class=\"default-block container\">\n<ol type=\"1\"><div class=\"default-block container\">\n<li>de Wee EM, et al. <em>Thromb Haemost<\/em> 2012; 108:683-92.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>Brown MC et al. <em>Haemophilia <\/em>2022; 28:73-9.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>Anderson JAM et al. <em>Br Dent J<\/em> 2013; 215:497-504.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>Kalsi H et al. <em>Haemophilia<\/em> 2012; 18:510-5.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36210240\/\" target=\"_blank\" rel=\"noreferrer noopener\">Corrales-Medina FF et al. <em>Blood Rev<\/em><\/a><em><a> <\/a><\/em>2023; 58:101018.<\/li>\n<\/div>\n\n<div class=\"default-block container\">\n<li>WFH guidelines for dental treatment of patients with inherited bleeding disorders; <a href=\"https:\/\/elearning.wfh.org\/resource\/guidelines-for-dental-treatment-of-patients-with-inherited-bleeding-disorders\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/elearning.wfh.org\/resource\/guidelines-for-dental-treatment-of-patients-with-inherited-bleeding-disorders\/<\/a>; last accessed Nov 2022.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Patients with bleeding disorders such as haemophilia or von Willebrand disease (VWD)&nbsp;are at increased risk of oral bleeding, including during routine dental care.1,2 Bleeding may occur even after teeth brushing or flossing, and fear of bleeding may prevent patients from maintaining good oral hygiene and visiting their dentist regularly.2-4 Even patients who visit their dental [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":233,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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