Dental aspects of haematological disorders

Question 1

Acquired coagulopathies?

Answer 1

alcoholol, thrombocytopenia, drugs

Question 2

acquired congenital?

Answer 2

haemophilia A/B
von willebrands
antiphospholilid syndrome

Question 3

oral signs of coagulopathies?

Answer 3

bleeding gums - spont, brushing/eating, 1st thing in morning, after invasive tx

Question 4

what is idiopathic thrombocytopenic purpura?

Answer 4

autoimmune, prolonged bleeding, tx with steroids/splenectomy, avoid regional blocks, platelet transfusion below 50x10*l
local haemostatic measures
avoid aspiring NSAID

Question 5

normal platelet count?

Answer 5

150-400x10(power of nine)/litre

Question 6

Increased risk of MRONJ if taking?

Answer 6

steroids with a bisphosophonate

Question 7

why would an IDB cause problems in someone with a blood disorder?

Answer 7

risk of nicking vessel = bleeding

could compromise breathing

Question 8

alcohol caused coagulopathies by?

Answer 8

bleeding tendancy due to liver cirrhosis, thrombocytopenia due to marrow suppression

Question 9

angular chelitis?

Answer 9

an undiagnosed diabetic, iron, B12, folic acid,
S.aureus/candida infection
ask if pt has systemic signs of anaemia

Question 10

what is candidiasis caused by?

Answer 10

B12, folate anaemia

Question 11

minor apthous ulceration caused by?

Answer 11

anaemia, iron, b12, folate

Question 12

folic acid deficiency could be caused by?

Answer 12

celiac disease

Question 13

haematological malignancies signs in mouth?

Answer 13

bleeding
infection - candida, primary herpetic ulcers
gingival swelling
lymphadenopathy

Question 14

2 bouts of AUG, what could you look at?

Answer 14

take bloods if second lot

could be an underlying cause

Question 15

if a tooth is loose assume what?

Answer 15

potential pathology