A Systematic Review of the Oral Health Status of Hemophilic Patients

Background: Hemophilia is an inherited bleeding disorder, with the most well-known forms being hemophilia A and hemophilia B. It is important for patients with hemophilia to maintain good oral health and prevent oral diseases because of their increased propensity to bleed. Few large-scale studies ex...

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Main Authors: Tatsuya Akitomo, Ami Kaneki, Chieko Mitsuhata, Ryota Nomura
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/12/4/490
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author Tatsuya Akitomo
Ami Kaneki
Chieko Mitsuhata
Ryota Nomura
author_facet Tatsuya Akitomo
Ami Kaneki
Chieko Mitsuhata
Ryota Nomura
author_sort Tatsuya Akitomo
collection DOAJ
description Background: Hemophilia is an inherited bleeding disorder, with the most well-known forms being hemophilia A and hemophilia B. It is important for patients with hemophilia to maintain good oral health and prevent oral diseases because of their increased propensity to bleed. Few large-scale studies exist on the oral health status of patients with hemophilia. Methods: In our search across three databases (Web of Science, Scopus, and PubMed), only 14 articles about the oral health status of hemophilic patients were extracted. Oral health status was classified into caries status, periodontal status, and oral hygiene status and compared with that of a healthy group. Results: In total, 13 of the 14 papers investigated the dental caries status of hemophilia patients, and the most common report was “no difference” compared to healthy subjects (7 papers, 53.8%), followed by “poor” (4 papers, 30.8%). Periodontal status was investigated in 6 papers, of which 4 (66.7%) reported that the status of hemophilia patients was “poor” compared to that of healthy controls. Oral hygiene status was investigated in 12 studies, with 7 studies (58.3%) reporting it to be “poor” in hemophilia patients compared to healthy controls, followed by 3 studies (25.0%) reporting “no difference”. Conclusions: Oral hygiene status is associated with other items, such as caries and periodontal disease, and it is paramount in maintaining good oral health in hemophilic patients. In addition, regular dental visits improve oral hygiene, resulting in the prevention of oral disease. It is important to increase awareness of this information among patients with hemophilia and for medical and dental professionals to cooperate to improve patients’ oral health status, with the aim of improving their quality of life.
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spelling doaj-art-2c23e2e23c154b6095f5e5e74d43b0362025-08-20T02:17:25ZengMDPI AGChildren2227-90672025-04-0112449010.3390/children12040490A Systematic Review of the Oral Health Status of Hemophilic PatientsTatsuya Akitomo0Ami Kaneki1Chieko Mitsuhata2Ryota Nomura3Department of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanDepartment of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanDepartment of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanDepartment of Pediatric Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, JapanBackground: Hemophilia is an inherited bleeding disorder, with the most well-known forms being hemophilia A and hemophilia B. It is important for patients with hemophilia to maintain good oral health and prevent oral diseases because of their increased propensity to bleed. Few large-scale studies exist on the oral health status of patients with hemophilia. Methods: In our search across three databases (Web of Science, Scopus, and PubMed), only 14 articles about the oral health status of hemophilic patients were extracted. Oral health status was classified into caries status, periodontal status, and oral hygiene status and compared with that of a healthy group. Results: In total, 13 of the 14 papers investigated the dental caries status of hemophilia patients, and the most common report was “no difference” compared to healthy subjects (7 papers, 53.8%), followed by “poor” (4 papers, 30.8%). Periodontal status was investigated in 6 papers, of which 4 (66.7%) reported that the status of hemophilia patients was “poor” compared to that of healthy controls. Oral hygiene status was investigated in 12 studies, with 7 studies (58.3%) reporting it to be “poor” in hemophilia patients compared to healthy controls, followed by 3 studies (25.0%) reporting “no difference”. Conclusions: Oral hygiene status is associated with other items, such as caries and periodontal disease, and it is paramount in maintaining good oral health in hemophilic patients. In addition, regular dental visits improve oral hygiene, resulting in the prevention of oral disease. It is important to increase awareness of this information among patients with hemophilia and for medical and dental professionals to cooperate to improve patients’ oral health status, with the aim of improving their quality of life.https://www.mdpi.com/2227-9067/12/4/490hemophiliaoral health statussystematic review
spellingShingle Tatsuya Akitomo
Ami Kaneki
Chieko Mitsuhata
Ryota Nomura
A Systematic Review of the Oral Health Status of Hemophilic Patients
Children
hemophilia
oral health status
systematic review
title A Systematic Review of the Oral Health Status of Hemophilic Patients
title_full A Systematic Review of the Oral Health Status of Hemophilic Patients
title_fullStr A Systematic Review of the Oral Health Status of Hemophilic Patients
title_full_unstemmed A Systematic Review of the Oral Health Status of Hemophilic Patients
title_short A Systematic Review of the Oral Health Status of Hemophilic Patients
title_sort systematic review of the oral health status of hemophilic patients
topic hemophilia
oral health status
systematic review
url https://www.mdpi.com/2227-9067/12/4/490
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