Abstract
Hemophilia is a congenital bleeding disorder caused by the deficiency of coagulation factor VIII (hemophilia A) or IX (hemophilia B). According to the degree of factor deficiency, hemophilia is classified as severe ( 1 IU/dL), moderate (2-5 IU/dL), or mild (6-40 IU/dL). In patients with hemophilia, every oral surgical procedure poses the risk of prolonged and excessive bleeding, and up to now, there has been no consensus about dental extractions in patients with hemophilia. Factor VIII replacement therapy in hemophilia A patients or factor IX replacement therapy in hemophilia B patients is usually recommended before surgical treatment. Because this hematologic treatment poses certain risks, such as development of inhibitors, efficient local hemostasis measures are applied to minimize the use of clotting factor support. We present a case report of dental extraction in a hemophilia A patient without factor replacement therapy. Application of a fibrin sealant and suturing were used for local hemostatic treatment.
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