521 - Management of Facial Cellulitis in a Pediatric Dental Patient with Severe Hemophilia A

Abstract: Hemophilia A is a bleeding disorder caused by a congenital deficiency in Factor VIII, a blood-clotting protein which plays an essential role in the coagulation cascade. It is classified as mild, moderate, or severe based on the level of coagulation factor present in circulation, with severe measuring as less than 1% factor activity. Therefore, these patients are at significantly increased risk for bleeding. In dentistry, this is a major concern as bleeding can be triggered by physiological events such as tooth eruption, exfoliation, and mobile tooth roots, treatment of dental caries and periodontal diseases, invasive procedures such as extractions, suturing, fixed and removable orthodontic appliances, endodontic therapies, and administration of local anesthetic via inferior alveolar nerve blocks or lingual infiltration. This case report details management of facial cellulitis in a 4 year 1 month male with severe hemophilia A.

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