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Complications following dental treatment in a child with haemophilia A: lessons to be learnt
  1. Rebecca Paul1,
  2. Christina George1,
  3. Ajit Chandrasekhar2 and
  4. Rabin Chacko3
  1. 1Dental and Oral Surgery I, Christian Medical College Vellore, Vellore, Tamil Nadu, India
  2. 2Oral and Maxillofacial Services–Dental and Oral Surgery I, Christian Medical College Vellore, Vellore, Tamil Nadu, India
  3. 3Dental and Oral Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Rabin Chacko; rabshirl{at}


A boy in his middle childhood with severe haemophilia reported with facial swelling following dental treatment for a carious upper primary molar done at a private dental clinic elsewhere. On presentation, he had a large, tense and tender swelling of the left cheek and a haematoma on the buccal mucosa adjacent to the treated tooth. The child was found to have a low haemoglobin level. He was taken for an emergency procedure under general anaesthesia for dental extraction with incision and drainage, and simultaneously underwent packed cells and factor replacement. He recovered in the ward postoperatively with no complications and with a gradual reduction of the swelling. This report highlights the importance of caries prevention in children, especially those with haemophilia. They need to be educated about restricting cariogenic foods in their diet and maintaining good oral hygiene. Management of such patients should be carefully coordinated to minimise undesirable outcomes.

  • Dentistry and oral medicine
  • Haematology (incl blood transfusion)
  • Oral and maxillofacial surgery
  • Malignant and Benign haematology

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  • Contributors Supervised by RC. The patient was under the care of RC. Report was written by RP, CG and AC.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.