We present the case of a 51-year-old moderate
hemophiliac with gingival bleeding due to papillary inflammation and adherence
in the molar area 47. After dental diagnosis a calculus was removed and 30% trichloroacetic acid was placed by a pressurized applicator for five seconds; the procedure
was repeated until the bleeding stopped, then tranexamic acid was placed by a gauze. The patient chewed
the gauze for 30 minutes and was discharged after repeating the same procedure
for 30 minutes more. We
observed how local treatment with trichloroacetic
acid combined to tranexamic acid placed on the hemorrhagic site was able
to stop the bleeding.
Cite this paper
E. Delgado and G. Sottilotta, "Dental Treatment with 30% Trichloroacetic Acid in a Patient with Moderate Hemophilia A," Open Journal of Blood Diseases
, Vol. 3 No. 1, 2013, pp. 13-14. doi: 10.4236/ojbd.2013.31003
 A. Coppola, M. Di Capua, M. N. Di Minno, et al., “Treatment of Hemophilia: A Review of Current Advances and Ongoing Issues,” Journal of Blood Medicine, Vol. 1, 2010, pp. 183-195. doi:10.2147/JBM.S6885
 C. Scully, P. D. Dios and P. Giangrande, “Oral Care for People with Hemophilia or a Hereditary Bleeding Tendency,” 2nd Edition, Treatment of Hemophilia Monograph Series, The World Federation of Hemophilia, Montreal, 2008, pp. 10-11.
 K. R. Beutner, D. J. Wiley, J. M. Douglas, et al., “Genital Warts and Their Treatment,” Clinical Infectious Diseases, Vol. 28, No. S1, 1999, pp. S37-S56.
 V. K. Malviya, G. Deppe, R. Pluszczynski, et al., “Trichloroacetic Acid in the Treatment of Human Papillomavirus Infection of the Cervix without Associated Dysplasia,” Obstetrics and Gynecology, Vol. 70, No. 1, 1987, pp. 72-74.
 M. Vasallo and E. Rey, “Tratamiento Periodontal en Pacientes Bajo Regimen de Anticoagulación Crónica,” Actualizaciones Odontológicas, Buenos Aires, Gador, 2011. http://www.gador.com.ar/iyd/fao/fao55.pdf
 A. Brewer and M. E. Correa, “Guidelines for Dental Treatment of Patients with Inherited Bleeding Disorders,” Treatment of Hemophilia Monograph Series, The World Federation of Hemophilia, Montreal, 2006, pp. 1-2.