Case Series of Patients with Haemophilia Managed in a Paediatric Dental Clinic at Lagos University Teaching Hospital

Oladipupo Solomon AYEDUN — 2026-01-05

Background: Bleeding disorders are a group of disorders in which
blood does not clot properly due to defects in the blood vessels,
coagulation system, or platelets. Haemophilia is one of the most
frequently occurring inherited bleeding disorders. Initial recognition of
such bleeding disorders and their possible effects plays a significant
role in reducing potential complications. This case series aims to
provide knowledge on the dental management of children with
haemophilia.
Case Presentation: We report two patients with haemophilia who
were managed in the Dental clinic by a team comprising fourth-year
residents in Paediatric Dentistry and a consultant in Paediatric
Dentistry. One of the cases was a known haemophiliac.
The first patient was a 10-year-old male who presented on account of
gingival bleeding of one week's duration. The bleeding was from a
pedunculated, well-circumscribed mass in the region of the lower left
first molar. An impression of pyogenic granuloma was made.
Excisional biopsy of the lesion was done under local anaesthesia, and
the patient was discharged home afterwards with no postoperative
complications.
The second patient was a 6-year-old male who presented to the
paediatric dental clinic on account of bleeding from the tongue
following trauma. There was a positive history of excessive post
circumcision bleeding. The patient was referred to the paediatric
haematology clinic for review after requesting for haematological
investigations. Investigations revealed a haematocrit of 21%.
Transfusion with whole blood was given, laceration was re-sutured,
and patient was placed on intravenous tranexamic acid for five days.
He was later discharged in a stable condition to be followed up in the
clinic.
Conclusion: The management of patients with bleeding disorders
depends on the severity of the condition and the invasiveness of the
planned dental procedure. The goal is to minimize the challenge to the
patient by restoring the haemostatic system to acceptable levels and
maintaining haemostasis by local and adjunctive methods.

Periapical Surgeries in Paediatric Dental Patients: A Case Series.

Oladipupo Solomon AYEDUN — 2026-01-05

Background: Periapical lesions are sequelae of microbial
pulpal invasion, which can occur through trauma or dental
caries. These periapical radiolucent areas may be diagnosed
on routine dental examination or following acute dental
pain. These lesions may manifest as sinus discharge, pain,
swelling, fever, mobility, and even possible loss of the tooth.
In such instances, antibiotic therapy may not be effective in
restricting the infective process, but when combined with
re-treatment and periapical surgery, complete resolution of
the symptoms occurs.
Objective: To report cases of periapical surgeries on
Paediatric Dental Patients
Method: A retrospective case series study design and a
single-centre data collation of four Periapical surgeries
carried out at the Paediatric Dental Clinic of the Lagos
University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
LUTH, a leading tertiary Hospital in Nigeria, with referral
cases from different centres in the country.
Result: Four cases of periapical surgery done on the anterior
teeth of four patients with periapical lesions were seen. Two
cases had periapical cysts, while the other two had
iatrogenic displacements of gutta-percha beyond the apex
of the teeth. Retrograde apical seal was achieved using
Mineral Trioxide Aggregate as an adjunct to periapical
surgery, resulting in satisfactory healing outcomes postsurgery,
with radiographic and clinical signs of healing in all
cases.
Conclusion: Periapical surgery as part of endodontic
treatment remains a tool for the complete and satisfactory
healing outcome in the management of periapical lesions.

Journal of Paediatric Dental Research and Practice

Case Series of Patients with Haemophilia Managed in a Paediatric Dental Clinic at Lagos University Teaching Hospital

Periapical Surgeries in Paediatric Dental Patients: A Case Series.