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It comes to consulting the Faculty of Dentistry at the University of Nuevo Leon pediatric male patient of 9 years 10 months, who was admitted with a presumptive diagnosis of hemophilia due to a subsequent persistent bleeding to treatment with steel crowns made in an earlier appointment. Interconsultation is performed with the hematologist who by laboratory examinations notice decreased coagulation factor VIII confirming the diagnosis of hemophilia A. It plans and conducts comprehensive treatment dental team with the hematologist who said that patients in hospitals with the replacement of missing clotting factor is prepared by cryo precipitates or with concentrated factor VIII intravenously before and after his dental intervention. The aim of the article is to highlight that hemophilia can be a disease detected during dental surgery in some patients and for it to be successfully treated with multidisciplinary management protocol is required between hematologists and dentists. Keywords: Treatment, patient, child, hemophilia A. Hemofilia tipo A. Consideraciones en el manejo odontologico de pacientes infantiles. Reporte de un caso clinico. Se presenta a consulta en la Facultad de Odontologia de la Universidad Autonoma de Nuevo Leon paciente masculino pediatrico de 9 anos 10 meses, el cual ingresa con un diagnostico de presuncion de hemofilia debido a un sangrado persistente posterior al tratamiento con coronas de acero realizadas en una cita anterior.Se efectua interconsulta con el hematologo quien mediante examenes de laboratorio observa una disminucion del factor VIII de coagulacion lo que confirma el diagnostico de hemofilia tipo A. Se planea y realiza el tratamiento integral odontologico en equipo con el hematologo quien indica que se prepare al paciente a nivel hospitalario con la reposicion del factor de coagulacion faltante a traves de crio precipitados o mediante concentrado del factor VIII por via intravenosa previo y posterior a su intervencion dental. El objetivo del articulo es destacar que la hemofilia puede ser una enfermedad detectada durante la consulta dental en algunos pacientes y que para que estos sean tratados con exito se requiere un protocolo del manejo multidisciplinario entre hematologos y odontologos. Palabras claves: Tratamiento, paciente, infantil, hemofilia A.

Hemophilia A. Considerations in the dental management of pediatric patients. A case report.