Pulpotomy management using laser diode in pediatric patient with severe hemophilia A under general anesthesia—A case report

Abstract

Hemophilia-a bleeding disorder due to the lack of clotting factors-is mostly induced by genetic factors. Its most common type is hemophilia A. Hemorrhage in hemophilia A may occur in several different sites of the body, including those inside the oral cavity, such as mucous membrane and gum. However, only a few studies and case reports on dental issues of hemophilia A patients have been conducted. In clinical dentistry, treatment procedures are invasive, possibly leading to more severe bleeding, especially in hemophilia A cases. This paper presents the case of a 4-year-old boy diagnosed with severe hemophilia A, who also had several dental problems that needed endodontic treatment. We used laser diode to manage pulpotomy under general anesthesia to treat his dental diseases. His treatment procedure was performed by a dental surgeon, a hematologist, and an anesthesiologist.

Fibrin glue in managing intractable gingival bleeding in patients with inherited bleeding disorders—a quasi-experimental pilot study

“…Alternative approaches like diode laser coagulation or oral splints with Tranexamic acid may address these concerns. 9 Despite being easily accessible, cost-effective, and effective in achieving haemostasis, fibrin glue has a higher tendency to dissolve when exposed to salivary enzymes. In contrast, the use of home-made oral splints made from impressions using putty and a soft splint containing Tranexamic acid creates a protective barrier that shields the bleeding gum from the breakdown caused by salivary fibrinolysis.…”

Computer-Controlled CO2 Laser Ablation System for Cone-beam Computed Tomography and Digital Image Guided Endodontic Access: A Pilot Study

“…Due to the fact that lasers operate in a sterile field, eject tissue, and provide hemostasis, pulpotomy procedures have the potential for a better prognosis. In particular, pediatric endodontics may find these systems especially useful due to patient pain tolerance and the higher success rate of pulpotomy procedures of immature teeth (33)(34)(35)(36)(37). When a complete root canal is planned a computer-controlled laser system has the potential to reduce off target and off axis accesses preparations.…”

Intraoral Applications of Lasers in the Prosthetic Rehabilitation with Fixed Partial Dentures—A Narrative Review

“…Its low invasiveness, immediate hemostasis, and faster wound healing attract practitioners in many fields of dentistry [ 1 ]. Lasers have been found to have the potential to control bacteriemia [ 8 ] and reduce the occurrence of medical emergencies among medically compromised patients [ 9 ], as well as those suffering from hemorrhagic disorders [ 10 , 11 , 12 , 13 , 14 ]. Despite these beneficial characteristics, it is noted that lasers are not used to their full potential and there is a lack of complete understanding of their benefits among dental professionals [ 15 ].…”