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Laser therapy for a haemophiliac. Case report.

N K Chellappah¹, H S Loh

¹National University of Singapore.

Australian Dental Journal

|April 1, 1990

Summary

Laser excision of dental tissue in haemophiliacs offers a reduced risk of bleeding, eliminating the need for Factor VIII infusions. This innovative approach enables safer dental procedures for patients with bleeding disorders.

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Area of Science:

Oral surgery
Haematology
Laser technology

Background:

Dental procedures in haemophiliacs pose significant bleeding risks.
Management typically involves Factor VIII replacement therapy.
Acute pericoronitis is a common dental emergency.

Observation:

A case of moderate haemophilia with acute pericoronitis was reported.
Laser excision was used to remove the problematic operculum.
No pre- or post-operative Factor VIII infusion was administered.

Findings:

Laser excision of the operculum was successful in managing acute pericoronitis.
The procedure was performed with a greatly reduced risk of haemorrhage.
Factor VIII concentrate was not required, simplifying patient management.

Implications:

Laser technology presents a viable alternative for surgical interventions in haemophiliacs.
This modality may reduce the need for costly and complex Factor VIII infusions.
Further research into laser applications in haemophilia management is warranted.

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