Dental & facial care

Before regular transfusions became standard, an overactive bone marrow could change the shape of the facial bones and jaw, affecting the teeth and bite. Good transfusion from early on prevents most of this today.

If the jaw or bite was affected, orthodontic treatment (braces) can help — and is best started early, coordinated with your medical team. Keeping teeth and gums healthy also matters because it avoids infections, which are best minimised in thalassaemia — especially for anyone without a spleen.

The basics go a long way: brush and floss daily, use fluoride, and keep routine dental check-ups. Tell your dentist about your condition and medicines, and mention if you’ve had a splenectomy (you may need antibiotic cover for some procedures).