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Bleeding Disorders in Orthodontics and Their Management - A Review

Luv Agarwal, Ankit Gupta, Rohit Kulshrestha

Orthodontic treatment is fully consistent with general health and it also improves quality-of life along with psychological considerations. Haemophilia is a disorder in which due to deficiency of some coagulation factors. Hereditary deficiency of coagulation factors has caused 90% of hereditary diseases: Haemophilia A, Haemophilia B and von Willebrand’s. Two issues need to be considered in the orthodontic treatment of haemophilia patients, iatrogenic viral infection and bleeding risk (especially when extraction or in orthognathic surgery). The aim of this article was to review the bleeding disorders in the patients undergoing orthodontic therapy. This article also describes oral manifestations and important considerations which need to be taken during treatment. Orthodontic treatment is not contraindicated in these patients but care should be taken to avoid gingival haemorrhage and soft tissue damage elicited by orthodontic appliances.