EC Dental Science

Case Report Volume 22 Issue 4 - 2023

Tooth Extractions in Pediatric Hemophilic Patients: Review and Case Reports

Mridula Goswami1* and Sakshi Lohia2

1Professor and Head of Department, Department of Pediatric and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, India
2Post graduate Resident, Department of Pediatric and Preventive Dentistry, Maulana Azad Institute of Dental Sciences, India

*Corresponding Author: Mridula Goswami, Professor and Head of Department, Department of Pediatric and Preventive Dentistry Maulana Azad Institute of Dental Sciences, New Delhi, India.
Received: February 04, 2023; Published: March 04, 2023

Aim: This review and case reports elaborates the importance, challenges and management during tooth extractions of patients with Hemophilia A in Pediatric Dentistry.

Background: Hemophilia is an X chromosome-linked hereditary disorder. It comprises a group of hereditary disorders that are caused due to the deficiency of one or more clotting factors. This leads to prolonged clotting time and excessive bleeding tendencies that may be fatal. Gingival spontaneous bleeding is also frequent, due to minor stimuli such as tooth brushing, food abrasion or infection and during exfoliation of deciduous teeth. During exfoliation, there are a significant number of enlarged capillaries near the surface, hence in Hemophilic children, the highly vascular oral cavity is frequent for hemorrhagic episodes and sometimes may present as a medical emergency.

Case Description: The present case series is a compilation of three cases that were referred from Hemophilia Day Care Centre (HDCC), New Delhi, in concern with bleeding from the oral cavity. The Dental management of Hemophilia A patients are described in this review and case series.

Conclusion: Treatment of Hemophilia A patients in a dental set up is sometimes an emergency situation and it requires specific management strategy. A multi-disciplinary approach is needed, under constant supervision of Pediatrician, Hematologist and Pediatric Dentists.

Keywords: Hemophilia A; Bleeding Disorder; Emergency Dental Management; Pediatric Dentistry

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Mridula Goswami and Sakshi Lohia. “Tooth Extractions in Pediatric Hemophilic Patients: Review and Case Reports”.”. EC Dental Science 22.4 (2023): 07-13.