Hemophilia is a hereditary X-linked recessive disorder triggered by a deficiency of either clotting factor VIII (heemophilia A) or IX (hemophilia B). The prevalence of hemophilia A is estimated at 1 in 6000 men while that of hemophilia B has a prevalence of 1 in 30,000 men. Case report A 60-year-old male patient with severe type A hemophilia (<1% factor VIII) presented to the dental clinic with pain in the upper left third molar. The tooth was buccally displaced with food impaction on its mesial surface.
There was decay in the mesial radicular and infra-gingival areas, which made extraction of the tooth advisable. He experienced a throbbing sensitivity to cold, which took a few seconds to subside and exhibited marginal gingivitis and tartar build-up in interproximal areas, particularly on the lingual aspect of the lower incisors. Scaling was indicated. The patient had no deleterious…
