Saleh Fahad Sonbol
King Saud University, Saudi Arabia
Title: Comprehensive dental treatment for a patient with hemophilia a under general anesthesia
Biography
Biography: Saleh Fahad Sonbol
Abstract
Introduction: Hemophilia A is a genetic coagulation disorder associated with a deficiency of clotting factor VIII (FVIII). It can be inherited or acquired and have different levels of severity. The degree of severity is varied: severe (<1 IU/dl of factor VIII), moderate (1-5 IU/dl), mild (6-40 IU/dl). The clinical characteristics of all types of hemophilia are similar: spontaneous or traumatic hemorrhages; muscle hematomas; hemophilic arthropathy caused by recurrent bleeding into target joints; and bleeding into the CNS. Without suitable exogenous clotting factor replacement therapy these manifestations of the disease could result in disabling or even deadly sequelae, which negatively impact patients’ quality of life and reduce their life expectancy.
This case describes the management of 6 years old boy with mild hemophilia A, who underwent full mouth dental rehabilitation under general anesthesia.
Case report: A 6-year-old Saudi male with mild type hemophilia A, who presented to the pediatric dental clinic with pain pointed to lower left area, lower left primary second molar was with large occlusal buccal restoration, recurrent caries and buccal intraoral abscess. The patient has multiple carious teeth needs comprehensive dental treatment. Due to his uncooperative behavior the patient referred for full mouth dental rehabilitation under general anesthesia.
Treatment course: Based on the consultation received from the hematologist the patient needs factor VIII prior to general anesthesia.