[Haemophilia and dental procedures; a complex combination].

Area of Science:

• Haematology
• Oral Surgery
• Patient Safety

Background:

• Severe haemophilia A is a rare bleeding disorder.
• Dental procedures can pose significant bleeding risks for these patients.
• Standard dental care may require modifications for individuals with coagulation disorders.

Observation:

• A 28-year-old male with severe haemophilia A developed extensive facial and thoracic haematomas after dental restoration.
• Symptoms included cheek swelling, intraoral bleeding, and respiratory distress.
• A non-steroidal anti-inflammatory drug (NSAID) was administered post-procedure, potentially exacerbating the bleeding.

Findings:

• The patient's condition resulted from a dental procedure performed without adequate prophylactic measures for severe haemophilia A.
• Delayed recognition and management of bleeding complications led to significant morbidity.
• NSAID administration likely contributed to the extensive haematoma formation.

Implications:

• This case highlights the critical need for specialized protocols in managing dental procedures for patients with severe haemophilia A.
• Collaboration between dental professionals and haematology teams is essential for patient safety.
• Prophylactic administration of coagulation factors before and after invasive dental work is vital to prevent life-threatening bleeds.