Treatment of Odontogenic Abscess in a Patient with Hemophilia A: Case Report

Haemophilia A is hereditary haemorrhagic disorders characterised by deficiency or dysfunction of coagulation protein factor VIII. This deficiency causes prolonged bleeding and delayed wound healing after injury, tooth extraction and surgical procedures. In this report; the patient was diagnosed with Hemophilia A and recurrent submandibular abscess despite of its medical treatments was presented. A 23-year-old male patient presented to our clinic with complaints of swelling and pain on the right side of his face and neck. In his anamnesis, it was learned that the patient first applied to the otolaryngology clinic, and after his treatment, were directed to our clinic, because of his recurrent complaints. In the clinical and radiographic examination, it was found that the abscess was caused by the right mandibular wisdom tooth and it was decided to be extracted. Firstly, the patient was consulted with a hematologist before the procedure was performed, and the patient was provided with antibiotic, analgesic and muscle relaxant medication for 3 days until the day of treatment. On the day of the procedure, factor VIII was transfused to the patient by the hematologist and than the wisdom teeth extracted and the wound was closed by suturing. Postoperatively, the wound was healed without any bleeding or healing problem. As a result; Hemophilia A disease is an important systemic disease that can be life-threatening. In these patients, surgical procedures should be performed by providing appropriate blood values in the most appropriate sterile conditions in the control of hematologist