Collaborative Practice


Yes. By the time most patients seek care in a dental clinic they’re aware of their bleeding disorder and typically know how to manage it.

As with any new patient, a detailed medical history is critical to preventing medical emergencies while providing dental care. Identification of the type and severity of the bleeding disorder is critical to management. Determination of the invasiveness of the dental procedure is also important.

After determining the type and severity of your patient’s bleeding disorder, a consultation with the medical team at the Hemophilia Outreach Center is appropriate. At that time you can discuss the invasiveness of the planned procedures and measures necessary to ensure the patient is hemodynamically stable. For patients with moderate to severe hemophilia, factor replacement is often necessary.

Ensuring the patient will have normal coagulation prior to treatment, using a gentle technique and utilizing local hemostatic measures during care will minimize postoperative complications. Depending on the severity of the bleeding disorder and the invasiveness of the procedure, you may consider use of a post procedure EACA(Tranexamic acid) mouthrinse for several days.

Medication dosing will be dependent on the type of surgery the patient is having. HOC’s RN and Hematologist will work closely with the surgeon to determine the best plan of care.

HOC will help coordinate all follow-up doses

No, the patient would need any medication(s) for a standard cleaning.

Please contact an HOC Nurse Coordinator, who will provide your office with a plan of care.