Dental Care for Patients With Congenital Bleeding Disorder: A Systematic Review.

IF 1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Special Care in Dentistry Pub Date : 2025-09-01 DOI:10.1111/scd.70105

Afsary Jahan Khan, Sydur Rahaman Riyadh, Mohammed Gh Abd Ali Al-Naser, Norjehan Yahaya, Mas Suryalis Ahmad, Aminda Faizura Omar, Altaf H Shah

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引用次数: 0

Abstract

Introduction: Dental management in patients with congenital bleeding disorder (CBD) can be complex, as even minor oral surgery may precipitate prolonged bleeding. Effective treatment requires a thorough medical and dental history evaluation, including pre-, intra-, and post-operative planning. This systematic review (SR) aims to analyze data on CBD patients, including age, treatment techniques, outcomes, and recommendations for minimizing bleeding risks.

Materials and methods: A comprehensive electronic search was conducted across five databases-PubMed via MEDLINE, Embase, Cochrane Library, Scopus, and Web of Science-using expert-validated keywords. Manual searches complemented the selection process, covering studies from first January 2009, to December 31, 2024. The SR followed PRISMA guidelines, with PICOS parameters defining study inclusion criteria.

Results: A total of 1221 records were identified, with three additional articles from manual and grey literature searches, resulting in 12 publications for data extraction and thematic analysis. Findings showed that patients with various CBD from seven countries underwent different dental procedures with structured pre-, intra-, and post-operative management, leading to positive outcomes.

Conclusions: This SR highlights the importance of standardized care protocols and multidisciplinary collaboration in ensuring safe dental treatment for CBD patients. Advanced hemostatic methods and tailored interventions significantly minimized intra- and post-operative complications.

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先天性出血性疾病患者的牙科护理：一项系统综述。

简介：先天性出血性疾病（CBD）患者的牙科管理可能是复杂的，因为即使是小的口腔手术也可能导致长期出血。有效的治疗需要全面的医疗和牙科病史评估，包括术前、术中和术后计划。本系统综述（SR）旨在分析CBD患者的数据，包括年龄、治疗技术、结果和减少出血风险的建议。材料和方法：使用专家验证的关键词，在五个数据库（pubmed通过MEDLINE、Embase、Cochrane Library、Scopus和Web of science）中进行了全面的电子搜索。人工搜索补充了选择过程，涵盖了从2009年1月1日到2024年12月31日的研究。SR遵循PRISMA指南，PICOS参数定义研究纳入标准。结果：共确定了1221条记录，另外还有3篇来自手动和灰色文献检索的文章，共12篇出版物用于数据提取和专题分析。研究结果显示，来自7个国家的不同CBD患者接受了不同的牙科手术，并进行了有组织的术前、术中和术后管理，导致了积极的结果。结论：该报告强调了标准化护理方案和多学科合作在确保CBD患者牙科治疗安全方面的重要性。先进的止血方法和量身定制的干预措施显著减少了手术内和术后并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Special Care in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.40

自引率

14.30%

发文量

120

期刊介绍： Special Care in Dentistry is the official journal of the Special Care Dentistry Association, the American Association of Hospital Dentists, the Academy of Dentistry for Persons with Disabilities, and the American Society for Geriatric Dentistry. It is the only journal published in North America devoted to improving oral health in people with special needs.