ABSTRACT
Dental health care providers often have to deal with patients requiring special care during treatment planning, and certain precautions while carrying out the procedures, and patients with bleeding disorders are one of them. Hemophilia, an X-linked blood dyscrasia, is the most common bleeding disorder. While hemophilia-A is a deficiency of factor VIII, hemophilia-B (Christmas disease) is a deficiency of factor IX. The present paper presents a case discussing endodontic management of mandibular molars with irreversible pulpits in an inhibitor positive severe hemophilia-A patient. As such patients may require administration of inferior alveolar nerve blocks, so adequate factor levels should be ensured before initiation of local anesthetics. Furthermore, the authors have tried to highlight the barriers to oral health care suffered by such patients and the larger role played by the physicians and oral health care providers in the prevention, early detection, and timely intervention in these cases.
ABSTRACT
Coronal fracture of teeth is a prevalent form of dental trauma. Mainly it affects anterior teeth due to accidental injury, but sometimes posterior teeth may also get affected. The immediate restoration of the original fractured segment not only offers an alternative treatment in the emergency but also restores patient’s emotional and functional problem. Reattachment of the fractured fragment, if it is available can provide excellent and long-lasting esthetics because it maintains tooth original contour, anatomy, and surface texture. If fracture line is subgingival, then one of the main problems during reattachment is isolation. Super bond is a new adhesive material which can be used successfully to stabilize the fragment even if the isolation is compromised. This article reports on the treatment of three coronal fractures at various levels by fiber post and a new adhesive material, Super bond