Resumo

BRAVO, Maria de Lourdes Ortiz et al. Multidisciplinary rehabilitation of pediatric dentistry in patients with hemophilia. Case report. Rev. Assoc. Paul. Cir. Dent. [online]. 2016, vol.70, n.2, pp. 210-214. ISSN 0004-5276.

Hemophilia is an autosomal recessive congenital blood coagulation desorder to X chromosome, this is due to deficiency of factor VIII (hemophilia A) or factor IX (hemophilia B) affects only men. Bleeding disorders are one of the issues of greatest interest to be considered by the dentist in the dental practice. Dental treatment of patients with hemophilia should be done under special care by a multidisciplinary team in which health professionals must have medical experience and adequate hematologic support. The objective of this study was to report the dental rehabilitation in a multidisciplinary team to a pediatric patient with severe haemophilia B, which is treated and controlled by medical hematologists in Zone General Hospital (HGZ). The dental diagnosis was accumulation of plaque on dental surfaces by poor oral hygiene, dental caries and enamel hypoplasia. For oral rehabilitation extractions were performed in some dental elements, prophylaxis, fluoride therapy, guidance and motivation of oral hygiene, caries removal with ultrasound assistance restorations with composite resin, glass ionomer and indirect restorations with cerômics. It was concluded that for proper dental management is essential knowledge of various systemic diseases such as hemophilia, multidisciplinary care, in addition to knowledge of minimal intervention techniques in pediatric dentistry so as to offer the best treatment alternatives patient with minimal invasion and favorable results.

Palavras-chave : hemophilia B; dental enamel hypoplasia; dental carie; rehabilitation..