{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T13:34:05Z","timestamp":1749735245179,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T00:00:00Z","timestamp":1691539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Patients with inherited bleeding disorders (IBDs) can experience challenges in accessing dental care. The COVID\u201019 pandemic saw the cessation of routine dentistry in England. This study aims to highlight whether access to dental care for patients with IBDs was impacted by the pandemic, and whether the severity of their IBD impacts patients experience of dental care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients over the age of 18 with Haemophilia A and B, Von Willibrands (VWD), Bernard\u2010Soulier syndrome (BSS) and Glanzmann's disease were recruited. One hundred and seventy\u2010eight patients were called and invited to complete a questionnaire. Full cohort and matched pair analysis was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy participants completed the questionnaire (62 males, mean age 39.9), 26 had a mild IBD and 44 severe. Mild and severe patients were matched on IBD, gender, deprivation index and age. Thirty\u2010one percent of patients tried to seek dental advice during the pandemic. Eighty\u2010one percent of mild patients saw a dentist routinely prior to the pandemic, compared to 58% of severe patients. Doctors were more likely to discuss the importance of dental prevention with patients with severe IBDs (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.0042).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Fewer patients with severe IBDs accessed regular dental care compared to their matched pair counterparts prior to the pandemic. This could indicate that access to care is more difficult for those with severe IBDs. Patients felt that oral health is relevant to their IBD. While doctors were more likely to discuss the importance of preventing dental disease with patients who have severe IBDs, the profession needs to ensure this translates into routine engagement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.14840","type":"journal-article","created":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T06:35:00Z","timestamp":1691649300000},"page":"1276-1282","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A cohort study and matched pair analysis evaluating the effects of the COVID\u201019 pandemic on access to dental care for people with inherited bleeding disorders"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3907-8844","authenticated-orcid":false,"given":"Alessandra Joelle","family":"Booth","sequence":"first","affiliation":[{"name":"Barts and the London School of Medicine and Dentistry Queen Mary University of London, London UK"},{"name":"Royal London Dental Hospital Barts Health NHS Trust, London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Cavell","sequence":"additional","affiliation":[{"name":"Royal London Dental Hospital Barts Health NHS Trust, London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Gill","sequence":"additional","affiliation":[{"name":"Barts and the London School of Medicine and Dentistry Queen Mary University of London, London UK"},{"name":"Royal London Dental Hospital Barts Health NHS Trust, London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Hart","sequence":"additional","affiliation":[{"name":"Royal London Dental Hospital Barts Health NHS Trust, London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lochana","family":"Nanayakkara","sequence":"additional","affiliation":[{"name":"Barts and the London School of Medicine and Dentistry Queen Mary University of London, London UK"},{"name":"Royal London Dental Hospital Barts Health NHS Trust, London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,9]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"The Haemophilia Society.Bleeding disorders.https:\/\/haemophilia.org.uk\/bleeding\u2010disorders\/(accessed"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood\u20102017\u201005\u2010782029"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572\u2010021\u201000278\u2010x"},{"volume-title":"Bleeding Disorders, in StatPearls","year":"2022","author":"Doherty TM","key":"e_1_2_11_5_1"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010022\u201002074\u20109"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14046"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2013.40.8.613"},{"issue":"9","key":"e_1_2_11_9_1","first-page":"661","article-title":"The global burden of oral diseases and risks to oral health, (in eng)","volume":"83","author":"Petersen PE","year":"2005","journal-title":"Bull World Health Organ"},{"key":"e_1_2_11_10_1","unstructured":"Scottish Dental Clinical Effectiveness Programme.Management of Dental Patients Taking Anticoagulants or Antiplatelet Drugs. NHS Education for Scotland.https:\/\/www.sdcep.org.uk\/media\/ypnl2cpz\/sdcep\u2010management\u2010of\u2010dental\u2010patients\u2010taking\u2010anticoagulants\u2010or\u2010antiplatelet\u2010drugs\u20102nd\u2010edition.pdf(accessed 02\/06\/2023"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/2231\u20100762.149022"},{"key":"e_1_2_11_12_1","first-page":"20","article-title":"The expressed dental needs of patients attending a Haemophilia Reference Centre","volume":"1","author":"Fiske J PFH","year":"2000","journal-title":"J Disabil Oral Health"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12701"},{"key":"e_1_2_11_14_1","unstructured":"Chief Dental Officer.Resumption of dental services in England.https:\/\/www.england.nhs.uk\/coronavirus\/wp\u2010content\/uploads\/sites\/52\/2020\/03\/Urgent\u2010dental\u2010care\u2010letter\u201028\u2010May.pdf(accessed"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41404\u2010021\u20100947\u20105"},{"volume-title":"IBM SPSS Statistics for Windows, Version 27.0","year":"2020","key":"e_1_2_11_16_1"},{"key":"e_1_2_11_17_1","unstructured":"National statistics.English indices of deprivation 2019.https:\/\/www.gov.uk\/government\/statistics\/english\u2010indices\u2010of\u2010deprivation\u20102019(accessed"},{"volume-title":"Stata Statistical Software: Release","year":"2021","key":"e_1_2_11_18_1"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2016.11.005"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12189"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2011.02716.x"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000323136"},{"key":"e_1_2_11_23_1","unstructured":"Imperial College Healthcare NHS Trust.https:\/\/www.imperial.nhs.uk\/\u2010\/media\/website\/patient\u2010information\u2010leaflets\/haematology\/bleeding\u2010and\u2010clotting\/dental\u2010services\u2010for\u2010patients\u2010with\u2010inherited\u2010bleeding\u2010disorders.pdf?rev=3eef11afa81c42ab9b6e97e8ece6eee5&sc_lang=en(accessed"},{"key":"e_1_2_11_24_1","unstructured":"Hurley SNM Letters updates and additional guidance for dental teams.https:\/\/www.england.nhs.uk\/coronavirus\/publication\/preparedness\u2010letters\u2010for\u2010dental\u2010care\/(accessed"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g2573"},{"key":"e_1_2_11_26_1","unstructured":"General Dental Council.The impacts of COVID\u201019 on oral health and dentistry in 2020.https:\/\/www.gdc\u2010uk.org\/standards\u2010guidance\/covid\u201019\/latest\u2010findings\u2010of\u2010the\u2010impacts\u2010of\u2010covid\u201019(accessed 02\/06\/2023)"}],"container-title":["Haemophilia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hae.14840","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T04:51:39Z","timestamp":1709182299000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hae.14840"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,9]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1111\/hae.14840"],"URL":"https:\/\/doi.org\/10.1111\/hae.14840","archive":["Portico"],"relation":{},"ISSN":["1351-8216","1365-2516"],"issn-type":[{"type":"print","value":"1351-8216"},{"type":"electronic","value":"1365-2516"}],"subject":[],"published":{"date-parts":[[2023,8,9]]},"assertion":[{"value":"2023-03-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}