PT - JOURNAL ARTICLE AU - Jose Luis Calvo-Guirado AU - Georgios E Romanos AU - Rafael Arcesio Delgado-Ruiz TI - Infected tooth extraction, bone grafting, immediate implant placement and immediate temporary crown insertion in a patient with severe type-B hemophilia AID - 10.1136/bcr-2019-229204 DP - 2019 Mar 01 TA - BMJ Case Reports PG - e229204 VI - 12 IP - 3 4099 - http://casereports.bmj.com/content/12/3/e229204.short 4100 - http://casereports.bmj.com/content/12/3/e229204.full SO - BMJ Case Reports2019 Mar 01; 12 AB - Haemorrhagic disorders combined with soft tissue inflammation and infection may lead to severe bleeding complications before, during or after dental treatment. In selected cases, a combined therapeutic approach involving clinical therapies and systemic and local medication could improve the treatment outcomes and the patient’s quality of life. This clinical case report, presents for the first time a successful combined approach, completed in a 38-year-old male patient with severe type-B haemophilia in which an infected tooth was extracted, an immediate implant was inserted, bone grafting was performed and early implant loading was successfully applied. In addition to the clinical therapy, medication was provided orally, systemically and locally, thus preventing the haemorrhagic complications and improving the patient’s quality of life.