{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:32:17Z","timestamp":1787776337077,"version":"build-2784847793"},"reference-count":36,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Preventive dental care is vital for individuals with bleeding disorders to reduce the need for potentially invasive procedures. Although dental care is a mandated function of U.S. federally supported hemophilia treatment centers (HTCs), access to dental care is widely variable. Lack of both dental insurance and appropriately trained professionals restricts access to services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The goals of this study were to estimate prevalence of unmet dental care need in an urban HTC and examine the feasibility of using the Oral Health Inventory Profile (OHIP\u201014) instrument to screen adult patients for poor oral health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The OHIP\u201014 survey was administered during comprehensive clinics. Chart reviews gathered patient demographic information and treatment plan after oral examination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      238 adults with haemophilia A or B, or von Willebrand disease completed the OHIP\u201014. Participant mean age was 34.6 years and 80% were male. A total of 66 individuals (28%) reported OHIP\u201014 scores of \u22655, indicating diminished oral health\u2010related quality of life. Upon oral exam, 56 (24%) of participants required at least one dental procedure. 19 participants needed 4\u201311 procedures; an additional 18 individuals needed \u226512 procedures. OHIP\u201014 scores were significantly associated with ethnicity (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.007), type of insurance (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004) and number of procedures needed (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001). OHIP\u201014 scores were moderately positively correlated with the number of dental procedures needed (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.58,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001) and moderately negatively correlated with health\u2010related quality of life (\n                      <jats:italic>r<\/jats:italic>\n                      = \u22120.299,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The OHIP\u201014 is a potentially useful tool for HTC clinicians interested in determining dental care needs among adult patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hae.70342","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:11:19Z","timestamp":1782990679000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of an Oral Health\u2010Related Quality of Life Instrument to Measure Unmet Dental Care Needs in Adults With Inherited Bleeding Disorders"],"prefix":"10.1111","author":[{"given":"Miguel A.","family":"Escobar","sequence":"first","affiliation":[{"name":"Gulf States Hemophilia and Thrombophilia Center and the McGovern Medical School University of Texas Health Science Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan M.","family":"Ullman","sequence":"additional","affiliation":[{"name":"Gulf States Hemophilia and Thrombophilia Center and the McGovern Medical School University of Texas Health Science Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Larson","sequence":"additional","affiliation":[{"name":"Gulf States Hemophilia and Thrombophilia Center and the McGovern Medical School University of Texas Health Science Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael M.","family":"Chan","sequence":"additional","affiliation":[{"name":"School of Dentistry General Practice Residency UT Health Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisela","family":"Trujillo","sequence":"additional","affiliation":[{"name":"Gulf States Hemophilia and Thrombophilia Center and the McGovern Medical School University of Texas Health Science Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000030517"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12360"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.RCREUE.2018.06.002"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2021.239"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41577\u2010020\u201000488\u20106"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.04.001"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12189"},{"key":"e_1_2_10_10_1","unstructured":"C.Scully P. D.Dios andP.Giangrande \u201cOral Care for People With Hemophilia or a Hereditary Bleeding Tendency \u201d27(2008) World Federation of Haemophilia https:\/\/elearning.wfh.org\/resource\/oral-care-for-people-with-hemophilia-or-a-hereditary-bleeding-tendency\/."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2011.02716.x"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/children12040490"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.15009"},{"key":"e_1_2_10_14_1","unstructured":"HTC Population Profile Patient Characteristics: CDC Community Counts[https:\/\/www.cdc.gov\/hemophilia\u2010community\u2010counts\/php\/data\u2010research\/2024\u2010march\u2010htc\u2010population\u2010profile\u2010patient\u2010characteristics.html#toc]."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6905a1"},{"key":"e_1_2_10_16_1","unstructured":"Hemophilia Treatment Centers (HTCs): U.S. Centers for Disease Control and Prevention; [https:\/\/www.cdc.gov\/hemophilia\/treatment\/treatment\u2010centers.html?CDC_AAref_Val=https:\/\/www.cdc.gov\/ncbddd\/hemophilia\/HTC.html]."},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12385"},{"issue":"6","key":"e_1_2_10_18_1","first-page":"656","article-title":"Synovial Inflammation in Active Rheumatoid Arthritis and Psoriatic Arthritis Facilitates Trapping of a Variety of Oral Bacterial DNAs","volume":"24","author":"Moen K.","year":"2006","journal-title":"Clinical and Experimental Rheumatology"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14200"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12983"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9041172"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13363"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.17964"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebdp.2024.102055"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100528.1997.tb00941.x"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2017\/27309.10442"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650\u2010200503000\u201000003"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-007-7596-1"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834\u20107819.2011.01328.x"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2008.01919.x"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.15144"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475\u20106773.2012.01394.x"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475\u20106773.12705"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.09.004"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12701"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14046"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100528.2006.00279.x"}],"container-title":["Haemophilia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hae.70342","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hae.70342","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hae.70342","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:04:23Z","timestamp":1787774663000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hae.70342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,2]]},"references-count":36,"alternative-id":["10.1111\/hae.70342"],"URL":"https:\/\/doi.org\/10.1111\/hae.70342","archive":["Portico"],"relation":{},"ISSN":["1351-8216","1365-2516"],"issn-type":[{"value":"1351-8216","type":"print"},{"value":"1365-2516","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,2]]},"assertion":[{"value":"2025-05-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"hae.70342"}}