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Posted by on Feb 23, 2015 in Uncategorized | 0 comments

Dental Implants And Hemophilia: What Patients Need To Know

According to the Centers for Disease Control and Prevention (CDC), around 17,000 people in the United States suffer from hemophilia. People with the disease can bleed for a long time after an injury, which increases the risk of complications after certain invasive procedures. As such, people with hemophilia must carefully consider the additional risks dental implant surgery can pose. Find out how hemophilia affects your body, and learn more about the precautions you should take if your dentist recommends dental implants.

How hemophilia affects the body

Your blood clots naturally because of special proteins in the body. These proteins (or clotting factors) help the platelets in your blood stick together to stop blood leaking from the vessels when you cut or bruise yourself. People with hemophilia have little or no clotting factor in their blood.

Doctors diagnose two types of hemophilia:

  • Type A occurs when you have little or no clotting factor 8. Around 80 percent of people with the disease have type A.
  • Type B occurs when you are missing clotting factor 9.

Most people inherit hemophilia from their parents, and the disease normally only affects males. Occasionally people acquire the disease when the body forms antibodies that attack and damage clotting factors in the blood.

People with hemophilia are at higher risk of deep internal bleeding. People with the disease tend to have a lot of blood transfusions, which can increase the risk of infectious diseases. Joint damage can also occur.

The risks of dental treatment

Dental treatment can pose a risk to patients with hemophilia because these procedures often cause trauma and bleeding of the gums. That aside, with careful preventive care, dentists can safely and effectively carry out a range of treatments for people with hemophilia.

The side effects of hemophilia vary between patients, and you may suffer mild, moderate or severe symptoms depending on your clotting factor deficiency. Around 70 percent of people with type A hemophilia have the severe form of the disease, so it’s important to consult a specialist before carrying out dental treatment.

If you have mild hemophilia (with at least 5 percent clotting factor), you can visit a normal dentist for routine care. This treatment can include check-ups, fillings, scale and polish and even root canal treatment. You can also have some dental implants, including crowns and other cosmetic work. In all cases, you should always tell your dentist about the condition and any medications your specialist prescribes for you.

If you have more severe hemophilia, you may need to undergo dental treatment in a specialist centre. What’s more, even patients with mild hemophilia may need to see a specialist for more invasive procedures. Deep injections, gum surgery and some dental implants can all cause complications, so speak to your consultant for more advice.

Special precautions a dentist may take with your hematologist

If you need certain dental implants, your dentist will need to work with a hematologist as part of a hemostasis management plan. This plan may use several treatments to replace or boost the clotting factor, including:

  • Infusions of clotting factor or desmopressin (a synthetic hormone replacement)
  • Clot-preserving medications or antifibrinolytics
  • Fibrin sealants, which the dentist applies directly to the wound to promote clotting and healing

After implant surgery, a specialist may also recommend tranexamic acid or epsilon aminocaproic acid, to stop excessive bleeding.

What you can do following dental implant surgery

If you have dental implants, it’s important you take special care after surgery. You should avoid hot and cold drinks and food until normal feeling returns. Avoid smoking, and rinse your mouth regularly with a salt water mouthwash.

Report prolonged bleeding or difficulty swallowing to your dentist immediately. He or she may prescribe paracetamol/acetaminophen painkillers to help control pain, but you should avoid non-steroidal anti-inflammatory drugs and aspirin, as these medications can interfere with the clotting process.

Hemophilia is a serious condition that can cause severe side effects after surgery. People with the disease can safely have dental implant surgery, but your dentist may need specialist support during the procedure.

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Posted by on Feb 10, 2015 in Uncategorized | 0 comments

5 Things You Need To Know About Dental Crowns

Your teeth are strong, but it’s still possible to damage them.  If your teeth get cracked, chipped, or even broken, they will need to be repaired by your dentist. Dental crowns are a common way that dentists repair damaged teeth. Here’s what you need to know about them. 

How do teeth get damaged?

There are many ways that your teeth can get damaged. Some of them are preventable, but others are not. Your teeth can get damaged if you bite a hard object, like ice, bone, or the end of your pencil. Be careful not to bite hard objects if you don’t want to damage your teeth. Your teeth can also crack or break when they are weakened by cavities. Remember to brush and floss regularly to avoid getting cavities, and your teeth won’t break as easily.

Your teeth can also become damaged in ways that you can’t easily prevent. For example, your teeth can be damaged in a car accident if your head hits the window or the steering wheel. They can also get damaged if you slip and fall in an icy parking lot, or if you get punched in the face. 

Can all damaged teeth be repaired with crowns?

Not all damaged teeth can be repaired with crowns alone, and some can’t be repaired at all. Your dentist will take a look at your tooth and let you know if it can be repaired or not. 

Minor damage (such as a small chip) can be fixed with a crown. Cracks can also be easily repaired with crowns, but only if the root of the tooth isn’t exposed. If the root is exposed, you’ll need to get a root canal before you can get a crown. 

Some damage can’t be fixed, and your tooth will need to be pulled. Some cracks fall into this category. If a crack in your tooth extends below the gum line, the tooth can’t be saved. Broken teeth may also need to be pulled out if they broke off too close to the gum line. 

How is a dental crown procedure done?

A dental crown procedure often takes two visits to the dentist. During the first appointment, the dentist will trim your tooth to allow a crown to fit over top, and then a mold will be taken of the trimmed tooth. A temporary crown will be attached to your tooth, and you will be sent home.

Your permanent crown will be custom made in a laboratory. This takes about two weeks, and once it’s ready, you’ll go back to the dentist. The dentist will check the fit of your new crown and then cement it onto your damaged tooth, completing the repair.

Does getting a dental crown hurt?

Getting your tooth trimmed sounds terrible, but you won’t actually feel anything. Your dentist will numb your tooth before the trimming process begins, and may also numb the surrounding gum tissue. If you’re really anxious, this procedure can also be done under sedation, a type of anesthesia that makes you relaxed but not asleep. 

How long do dental crowns last?

Dental crowns last for a long time, but they don’t last forever. If you get a dental crown, you can expect to replace it within the next five to fifteen years. You can prolong the life of your crown by taking good care of your teeth. Brushing, flossing, not biting hard objects, and visiting your dentist regularly will help keep your crown in good shape. 

Dental crowns are a great way to repair some kinds of damaged teeth. If any of your teeth become cracked, chipped, or broken, see your dentist right away and ask about getting a crown. Follow this link for more info on dental crowns.

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