{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T17:37:45Z","timestamp":1793036265155,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":["Special Care in Dentistry"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyze the oral symptoms documented in case reports that led to the identification of undiagnosed hemophilia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An electronic database search was carried out using MEDLINE (via PubMed), Scopus, CINAHL, ProQuest and EMBASE databases from inception to August 2025 for case reports and case series published in English language. Case reports addressing the dental treatments for people with hemophilia A\/hemophilia B were included. Cases of acquired hemophilia and cases of hemophilia who are inhibitor positive were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was a total of 282 articles that were identified of which seven reports (6 case reports and one case series) documented that prolonged oral bleeding following dental extraction was the first sign to suspect undiagnosed hemophilia. Delayed post\u2010dental treatment bleeding from Day 2 should raise the suspicion toward undiagnosed hemophilia A\/B.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mild hemophilia is often overlooked and undiagnosed due to the clinical manifestations that may be often neglected. Hence, this systematic review highlights the importance of dental professionals being the forefront of diagnosis of undetected bleeding disorder.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70267","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:30:14Z","timestamp":1790418614000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral Clues to Undiagnosed Congenital Hemophilia: A Systematic Review of Case Reports"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2242-3413","authenticated-orcid":false,"given":"Sulochana","family":"Badagabettu","sequence":"first","affiliation":[{"name":"Department of Fundamentals of Nursing, Manipal College of Nursing Manipal Academy of Higher Education Manipal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1245-2314","authenticated-orcid":false,"given":"Mathangi","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine &amp; Radiology, Manipal College of Dental Sciences Manipal Academy of Higher Education Manipal India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,26]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Federation of Hemophilia. \u201cReport on the Annual Global Survey 2024 \u201d (World Federation of Hemophilia 2025)."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rpth.2023.102264"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2012.02909.x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/1858241"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010022\u201002074\u20109"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010023\u20105448\u2010y"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/jisp.jisp_308_23"},{"key":"e_1_2_12_9_1","first-page":"1","article-title":"Bleeding Complication After Surgical Removal of Impacted Teeth in a Patient With Undiagnosed Clotting Disorder","volume":"69","author":"Neto H. L.","year":"2021","journal-title":"RGO \u2010 Revista Ga\u00facha de Odontologia"},{"key":"e_1_2_12_10_1","unstructured":"World Federation of Hemophilia. \u201cWorld Federation of Hemophilia Report on the ANNUAL GLOBAL SURVEY 2014 \u201d (World Federation of Hemophilia 2015)."},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jth.13368"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/jisp.jisp_461_18"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834\u20107819.1998.tb00171.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10006\u2010009\u20100154\u20108"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538\u20107836.2011.04265.x"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40729\u2010022\u201000418\u20102"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13122"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14046"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1590\/1981\u2010863720200003820190152"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.70267","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/scd.70267","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.70267","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T16:46:35Z","timestamp":1793033195000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.70267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/scd.70267"],"URL":"https:\/\/doi.org\/10.1111\/scd.70267","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-03-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70267"}}