{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T05:17:28Z","timestamp":1782796648582,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>While the dental management of patients with haemophilia has changed considerably in the last decade, haemophiliacs in Western Australia have continued to receive pre\u2010operative factor support for dentistry regardless of the type of dental procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To review the efficacy and safety of established dental protocols that reduce factor use in the dental management of patients with haemophilia and to estimate cost savings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Records of 11 patients with haemophilia that were seen in the pilot programme period were reviewed. These were cross\u2010referenced with previous dental and haematology notes that stated the amount and type of pre\u2010operative factor used. Cost savings were estimated using the Australian National Blood Authority's Product List.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All study participants were male, and included those with haemophilia A (<jats:italic>n<\/jats:italic>\u00a0=\u00a09), and B (<jats:italic>n<\/jats:italic>\u00a0=\u00a02). Mean age was 45 years (range 22\u201380). A variety of dental treatments were undertaken, and no pre\u2010operative factor was used. Patients on prophylaxis (<jats:italic>n<\/jats:italic>\u00a0=\u00a06) received dental treatment the same day as their regular factor administration. It was estimated AUD$26,314 was saved by not using pre\u2010operative factor. One patient had bleeding post\u2010extraction and was seen the following day to achieve haemostasis using local measures. The remaining patients had no complaints of post\u2010operative bleeding, and did not require any further haemostatic measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This pilot programme supports data that haemophiliacs can safely receive a variety of dental treatments without the need for pre\u2010operative factor, and the significant cost savings of doing so. Further data is required to support this protocol for invasive dental procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.14947","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T05:25:23Z","timestamp":1708493123000},"page":"404-409","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Dentistry for patients with haemophilia: Trialling a safe and economical change in management"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8018-0635","authenticated-orcid":false,"given":"Pritam Daniel","family":"Sundaresan","sequence":"first","affiliation":[{"name":"School of Allied Health The University of Western Australia  Perth Australia"},{"name":"Maxillofacial and Dental Surgery Fiona Stanley Hospital Perth Australia"},{"name":"Sedation and Special Care Dentistry Guy's and St Thomas NHS Foundation Trust London United\u00a0Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estie","family":"Kruger","sequence":"additional","affiliation":[{"name":"School of Allied Health The University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew","family":"Lim","sequence":"additional","affiliation":[{"name":"Melbourne Dental School The University of Melbourne  Melbourne Australia"},{"name":"Dental Unit The Alfred  Melbourne Australia"},{"name":"Maxillofacial Surgery The Royal Melbourne Hospital Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"McGeachie","sequence":"additional","affiliation":[{"name":"School of Allied Health The University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Tennant","sequence":"additional","affiliation":[{"name":"School of Allied Health The University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13928"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2001.tb00272.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2516.2000.00423.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12573"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.1971.tb07061.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2005.01132.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1351-8216.2003.00825.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2010.02346.x"},{"key":"e_1_2_11_10_1","first-page":"504","article-title":"Guidelines for dental treatment of patients with inherited bleeding disorders","volume":"11","author":"Brewer A","year":"2005","journal-title":"Haemophilia"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3148.2005.00554j.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2011.01328.x"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13122"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14046"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1258\/jicp.2010.010019"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(86)90039-X"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2013.1097"},{"key":"e_1_2_11_18_1","first-page":"50","article-title":"Evaluation of a collaborative model of shared care designed to increase access to preventive and restorative dentistry for patients with haemophilia","volume":"16","author":"Dougall A","year":"2010","journal-title":"Haemophilia"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14102"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2011.02716.x"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9785(85)80023-5"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(03)00739-0"},{"issue":"2","key":"e_1_2_11_23_1","first-page":"225","article-title":"Complex dental extractions in a patient with severe haemophilia A and inhibitors treated with activated prothrombin complex concentrate","volume":"10","author":"Zanon E","year":"2012","journal-title":"Blood Transfus"},{"key":"e_1_2_11_24_1","unstructured":"Independent Hospital Pricing Authority (2019).Independent Hospital Pricing Authority Annual Report 2018\u20132019. 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