Year : 2021

Volume : Volume 12

Issue : Issue 4

Address for correspondence :
Pooja Walia
pwalia16dec@gmail.com

Abstract

Background: Hemophilia is an X chromosome-linked hereditary bleeding disorder due to a deficiency of coagulation factor VIII (hemophilia A) or factor IX (hemophilia B) related to mutations of the clotting factor gene. This leads to a severely increased risk of prolonged bleeding from common injuries, or in several cases, bleeds may be spontaneous and without obvious cause. Proper dental and medical evaluation of patients is, therefore, necessary before any surgical procedure. Surgical treatment of patients with bleeding disorders requires careful planning. Administration of recombinant factor VIII and factor IX concentrates to increase the coagulation factor levels is a known treatment modality. In this case presentation, a 63-year-old patient with hemophilia B reported with the chief complaint of bleeding from gums. After evaluation by the surgeon and the hematologist, periodontal flap surgery and extractions were performed with administration of preoperative four units of fresh frozen plasma.

Keywords: Hemophilia, Periodontal flap surgery, Clotting factor