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CASE REPORT
Year : 2011  |  Volume : 1  |  Issue : 1  |  Page : 79-83

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


1 Department of Pedodontics and Preventive Dentistry, Shree Bankey Bihari Dental College, Ghaziabad, India
2 Department of Pedodontics & Preventive Dentistry, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India
3 Department of Pedodontics & Preventive Dentistry, PDM Dental College and Research Center, Bahadurgarh, Haryana, India

Correspondence Address:
Arun Rathnam
Department of Pedodontics and Preventive Dentistry, Institute of Dental Sciences, Bareilly, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5151.79288

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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.


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