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Dental Treatment of Child with Hemophilia  

Lim, Ji Eun (Department of Pediatric Dentistry and Institute of Oral Biology, School of Dentistry, Kyung Hee University)
Lee, Soo Eon (Department of Pediatric Dentistry and Institute of Oral Biology, School of Dentistry, Kyung Hee University)
Ahn, Hyo Jung (Department of Pediatric Dentistry and Institute of Oral Biology, School of Dentistry, Kyung Hee University)
Park, Jae-Hong (Department of Pediatric Dentistry and Institute of Oral Biology, School of Dentistry, Kyung Hee University)
Choi, Sung Chul (Department of Pediatric Dentistry and Institute of Oral Biology, School of Dentistry, Kyung Hee University)
Publication Information
Journal of The Korean Dental Society of Anesthesiology / v.12, no.4, 2012 , pp. 229-233 More about this Journal
Abstract
Hemophilia, the most common of the inherited bleeding disorder, is the result of a deficiency of clotting factor. Since bleeding after dental treatment may cause severe or even fatal complications, people with hemophilia must be given special dental care. We report on the diagnosis and treatment of a 9-year-old boy having severe hemophilia visited our department with the chief complaints of pus discharge on the left lower molar region. In the clinical and radiographic examination, periapical abscess and dental caries were diagnosed. Considering complexity of the treatment and complication in the coagulation, it was decided to carry on the treatment under general anesthesia. Clotting factor IX concentrates were intended to provide 50-70% plasma level. Pulpectomy, resin restoration and Stainless steel crown were given under general anesthesia. Several teeth were extracted and the sockets were packed with Surgicel$^{(R)}$ (Oxidized Regenerated Cellulose, Johnson and Johnson Co. Neuchatel, Switzerland) under general anesthesia. Transpalatal arch and lingual arch were given for maintaining the extracted space before discharged. For people with severe hemophilia, factor replacement is necessary before scaling, surgery or regional block injections. Therefore, if several extractions are needed, dental care under general anesthesia would be effective and efficient management.
Keywords
Clotting factor; Dental treatment; Extraction; Hemophilia;
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