Significant Bleeding Event Secondary To Maxillary Labial Frenectomy

Area of Science:

• Dentistry
• Pediatric Medicine
• Hematology

Background:

• Maxillary frenectomies are common dental procedures for functional and esthetic reasons.
• These invasive interventions carry potential risks, especially in young children.
• Routine use of frenectomies lacks robust supporting evidence.

Purpose of the Study:

• To report a case of severe post-operative bleeding after a laser maxillary labial frenectomy.
• To highlight the importance of pre-procedural systemic condition assessment.
• To question the current frequency of performing maxillary frenectomies.

Main Methods:

• Case report of a 16-month-old male patient.
• Detailed clinical presentation of prolonged oral bleeding post-laser frenectomy.
• Diagnostic workup leading to hemophilia A diagnosis.

Main Results:

• The patient experienced over 12 hours of oral bleeding after a laser maxillary labial frenectomy.
• The bleeding event led to the diagnosis of severe hemophilia A.
• This incident emphasizes the critical need for coagulopathy screening.

Conclusions:

• Thorough patient evaluation, including ruling out systemic coagulopathies, is crucial before performing maxillary frenectomies.
• The necessity and frequency of routine maxillary frenectomies warrant further investigation due to limited evidence.
• Pediatric dental procedures require careful consideration of underlying systemic health conditions.