Abstract
Hemophilia typically becomes apparent in childhood when bleeding into hypodermis, joints or oral cavity, and uncommonly be revealed after intraoral management.
We experienced 2 cases found by a chance of intraoral management. Therefore we present these 2 cases with some discussions as follows:
Case 1 was 41-year-old male. He received gingivectomy of the lower right wisdom tooth in the dental clinic. After that, continuous bleeding was observed. He suffered anemia, so he was hospitalized to be transfused immediately. Finally he was diagnosed hemophilia A (FVIII: C 3.0%) in our hospital.
Case 2 was 68-year-old male. He received tooth extraction of the lower right incisor in the dental clinic. Over night continuous bleeding was observed after intraoral management. On the next day, he consulted our hospital, but after that frequent bleeding caused. Concerning blood coagulation test, he was diagnosed hemophilia A (FVIII: C 3.1%).
While as a result of our study, 12 cases of 249 hemophilias registered in our hospital had been diagnosed hemophilia A or B after intraoral management.
We think unexpectedly that it is difficult to diagnose and correspond precisely for bleeding after intraoral management.
