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National Centre for Hereditary Coagulation Disorders (NCHCD). Comprehensive national centre for the treatment of adults with coagulation disorders in Ireland. Extensive multi-disciplinary teamConsultant-led dental team - 3 sessions per weekSCD Post-Grad, student nurses
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1. Dental leaflet for patients with haemophilia Evelyn Lawless RDN, Dental Nurse
Carol Edmonds RDN, Dental Nurse
Karen Dineen, RDN Dental Nurse
Carmel Egan Clinical Nurse Specialist Coagulation
3. National Centre for Hereditary Coagulation Disorders (NCHCD) Comprehensive national centre for the treatment of adults with coagulation disorders in Ireland.
Extensive multi-disciplinary team
Consultant-led dental team - 3 sessions per week
SCD Post-Grad, student nurses & hygienists from Dublin Dental Hospital
4. Dental service
5. The Dental Liason Nurse Co-ordination and administration of clotting factors for patients attending the dental clinic
Support and advice for patients
Medical Education of Dental Personnel
Dental Education of Nursing/Medical staff
Development of new guidelines, policies and procedures in relation to service
6. New treatment protocol 2006: new WFH guidelines on dental treatment of patients with inherited bleeding disorders.
2005: Lee et al - effectiveness of Tranexamic Acid mouthwash for dental scaling in pts with haemophilia
Proposal to the Coagulation Team to implement new dental protocol at the Dublin Haemophilia Centre
Only pts with severe or moderate haemophilia needed to receive continuing dental care at the centre
Pts with mild disease discharged to General Practice for continuing or shared care
7. Discharge Policy All patients being discharged from the centre given final dental appointment and advice.
Newly diagnosed or adolescents transfered from childerens hospital assessed by medical/dental team categorised according to whether need shared care or continuing dental care at centre.
A follow up letter including diagnosis, guidelines and contact details for the centre posted to the patient to give to the GDP
Telephone contact assured for support and queries from patients and dentists
8. Development of leaflet Fiske et al. Exressed needs of Patients with Haemophilia JDOH 2000
Audited - House Officer
Dental attendance query at yearly coagulation review appt.
Development of supporting information leaflet by dental nurses
18. Thank - you
19. Brewer A, Correa M.E. (2006) Guidelines for Dental Treatment of Patients with Inherited Bleeding Disorders. World Federation of Haemophilia Monograph no. 40.
Fiske J. Ford H, Savidge G, Smith M. (2000) The expressed dental needs of patients attending a Haemophilia Reference Centre. Journal of Disability and Oral Heath 20 (5).
Lee A, Boyle C, Savidge G, Fiske J. (2005) Effectiveness in controlling haemorrhage after dental scaling in people with haemophilia by using tranexamic acid mouthwash. British Dental Journal 198:33-38.
Dougall A ,Fiske J. (2008) Special Care Dentistry-Safety. British Dental Journal 204 (15)