Delayed Bleeding in a Hemophilic Patient After Sinus Floor Elevation and Multiple Implant Placements: A Case Report
Dental treatments in hemophilic patients are challenging, and the absence of adequate preparation for the procedures can be life-threatening. This letter describes a delayed postoperative bleeding after multiple dental implants with sinus floor elevation in a patient with mild hemophilia A.
Oral condition of the patient at the first appointment.
Panoramic X ray demonstrating the patient condition when he sought for treatment.
Figure 3. Surgical site immediately after the placement of implants in the lower arch.
Figure 4. Fifteen days after surgery. The sutures were removed in the same appointment of the implant placement in the upper arch.
Figure 5. The second bicuspid was extracted, and 1 implant was placed in its fresh extraction socket. Another 2 implants were placed in the posterior region concomitant to sinus floor elevation with osteotomes.
Panoramic X ray demonstrating the postoperative outcome.
Figure 7. Wound site when the patient arrived at the dental office. It is possible to observe the presence of a dense clot throughout the whole wound, where some of the catgut sutures were still present.
Figure 8. After sutures removal and wound cleansing, the healing process was compatible with 9-day postoperative healing of an ordinary patient.
Figure 9. Wound site after 21 days of the procedure, showing proper healing of the surgical site.
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