Objective: Overall objective is to help dental students develop their knowledge base by becoming more efficient users of resources and services available to them at the Knowledge Center/Augustus C. Long Health Sciences Library. The students will:

  • Apply appropriate tools to answer specific clinical questions
  • Explore select databases, e-books and print collections available
  • Understand the fundamentals of creating a search strategy
  • Know where to go for additional assistance

Below is a hematology case clinical scenario with a focus on dental management of the patent, using resources available at the Augustus C. Long Health Sciences Library (HSL).

Hematology Case–Hemophilia

CC: A 16-year old white male presents with a chief complaint of a toothache of two days duration in an upper tooth.

HPI: Two days ago, the patient developed a toothache, which began as sensitivity to hot, cold, and mastication.  Since that time the pain has increased to be chronic in nature preventing sleep and eating.

PMH: Hospitalizations: Multiple Babies Hospital admissions for bleeding episodes.

Illness: Factor VIII Hemophilia

Denies RF, RHO, Murmur, TB, VD, Kidney Disease, Liver Disease, Hepatitis, and Diabetes

Medications: Denies

Allergies: Denies

Examination:

. BP -110/70, P-72, R-18

. Extra-Oral: Soft tissues: Right maxillary muccobuccal fold is full and tender adjacent to #3. All other areas are WNL.

. Hard tissues: Large carious lesion associated with #3.  Large restorations throughout the oral cavity.

. Perio: Type I

. Hygiene: Good

. Radiographic evaluation: #3 shows periapical pathology and decay below the crestal bone

. Impression: 16-year old male with endodontically involved maxillary right first molar.  Medical history significant for Factor VIII deficiency.

[Case Abstracted from Syllabus in Courseworks for first year dental students at Columbia, 2004]

Questions:

  1. What is the pathophysiology of hemophilia A?
  2. Are there any books that provide an overview on dental care for medically compromised patients?
  3. What is the recommended management of patients with hemophilia a undergoing oral surgery?
  4. What are the practice guidelines for treating patients with hemophilia?

 

Click HERE to see some examples of ways in which you can use Library Resources to find answers to the questions above.