Nirmala Venkata, Saikrishna Degala and Nuvvula Sivakumar
Anticipatory guidance as a proactive developmentally based counselling technique that focuses on the need of a child at each stage of life. The prevention of dental problems is essential component of oral care particularly for haemophilic children. Parents should be educated and motivated regarding the value of prevention of dental caries, gingival and periodontal diseases, as well as dental trauma. Teething toys like a firm rubber or water filled plastic teething rings used during teething. Brushing twice daily with a fluoride toothpaste.1,000-ppm fluoride toothpaste for children under 7 years of age and 1,400-ppm fluoride toothpaste for people over 7 years of age. High sugar or acid content should be limited to mealtimes Most of the restorative procedures done without factor replacement. Use thin rubber dam, avoid retainers with sub gingival extensions, to protect interdental papilla wedged can be used. High speed vacuum saliva ejector should be used cautiously. Pulpotomy and pulpectomy is preferable to extraction. However, 30- 40% factor replacement is administered one hour prior to the extraction. This article discuss about anticipatory guidance in children with haemophilia.
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