IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-3-18299 Original Research Paper ORTHODONTIC MANAGEMENT IN A CASE OF AVULSION AND INTRUSION OF MAXILLARY ANTERIORS IN SEVERE HEMOPHILIC CHILD, CASE REPORT AND REVIEW ARTICLE Indranil Mukhopadhyaya Dr. Dr. Subhash Kumar Dr. Dr. Sumit Bhaskar Dr. March 2019 8 3 01 02 ABSTRACT

Hemophilia (deficiency of factor VIII & XI), an X–linked recessive hereditary disorder, is the commonest encountered congenital medical compromisation, that the today’s oral and dental surgeons are facing. The incidence of hemophilia is approximately one in every 10,000 population. Though the maximum cases are excluded while taking the thorough medical history, but some of the milder form are diagnosed by dental surgeon as bleeding gum, severe post extraction bleeding, as presented by the patient. The dental and oral management of the diseased case has been an objective of interest to today’s dental professionals in recent advanced dentistry. The orthodontic corrections of malocclusions of various degrees of and forms had been neglected in anticipation of hemorrhage. All efforts are made now a days to avoid any kind of soft tissue damage with the help of modern tissues friendly appliance, instruments & techniques. Here, we are going to report an interesting case of a nine and half year old child of known case of severe hemophilia A, who had been treated by multidisciplinary approach following the avulsion & intrusion of maxillary incisors with soft tissue laceration, in an accidental trauma.