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Int J Crit Illn Inj Sci. 2011 Jan;1(1):79-83. doi: 10.4103/2229-5151.79288.

Treatment of an intraoral bleeding in hemophilic patient with a thermoplastic palatal stent - A novel approach.

Author information

1
Department of Pedodontics and Preventive Dentistry, Shree Bankey Bihari Dental College, Ghaziabad, India.

Abstract

This is a case report of a 13-year old child diagnosed with hemophilia A. He reported with a bleeding wound in the middle part of the hard palate, due to trauma from a lead pencil. An intraoral palatal stent was planned to provide continuous pressure, stabilize the clot and allow local delivery of hemostatic agent. The stent was fabricated with a thermoplastic silicone rubber (biostar) under vacuum. The hemostatic agent used was one 500 mg capsule of tranxemic acid that was crushed and applied as a paste every 6 hourly. The patient was admitted under supervision for 3 days, where Recombinant factor VIII (rFVIII) intravenous infusion of 15-25 U/kg twice a day was given. Complete healing was observed in the traumatized area within 10 days. This article emphasizes on prenatal diagnosis, carrier screening and counseling of parents born with hemophilic children.

KEYWORDS:

Hemophilia; hemostatic agents; intraoral palatal stent; tranxemic acid

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