I apologize, I do not see any faces in the provided text. The document appears to be about hemophilia, a genetic bleeding disorder. It discusses causes, classifications by severity, management strategies, and dental considerations for treating patients with hemophilia. However, there are no images included that I could identify faces in.

1. hemophiliaDr shabeelpn

2. A group of hereditarygenetic disorders that impair the body's ability to control blood clotting or coagulation .The effects of this sex-linked, X chromosome disorder are manifested almost entirely in males Females are almost exclusively carriers of the disorder, and may have inherited it from either their mother or father.

3. CausesHaemophilia A is an X-linked genetic disorder involving a lack of functional clotting Factor VIII and represents 90% of hemophilia cases.[3]Haemophilia B is an X-linked genetic disorder involving a lack of functional clotting Factor IX It is more severe but less common than Hemophilia A.Haemophilia C is an autosomal recessive genetic disorder involving a lack of functional clotting Factor XI.

4. HEMOPHILIA aMild : 6 – 50 % of normal factor viii levelModerate : 1 -5 % Severe : < 1% ( joint synovitis , hemophilic arthropathies , IM bleeding, hemarrhagic cyst)

5. HEMOPHILIA bGenetic bckgrnd , factor level, clinical symptoms are same as HEM ADistinction – 1940 specific factor concentrate

7. managementSeverity , type and site of hemorrhage Commercially prepared factor viii & ix complex conc ,desmopressin acetate , cryoppt, ffp….Chance of viral transmission (dry heat treated concentrate)High purity factor viii products (monoclonal antibody purification technique) - improved viral safetyDDAVP (desmopressin acetate) provide transient increase in coag factor. Absence of viral risk and lower cost

8. ddavpDose : .3 micro gm/ kg iv or sc prior to txResult in 2-5 fold increase in factor viii , vwf antigen For children : intranasal spray Stimulate endogenous release f viii&vwfProlongd use exhaust f viii& dimnishdhemostatcactvty..antifibrinolytcs as adjuncts to ddavp

9. Oral findngsPetechiae,ecchymosisGingival bleedng+enlargmntContinousbleedng…stain toothLabial frenum>tongue>buccal mucosaBleedng increase…traumaAcute/chronic hemarthrosis

11. Treatment scenario OMFS-hypnosis,diazepam therapyL.A---block 20-30%,,hematoma frmnOral Endotrachealprfrd over nasal50-100% preopfactr levelAddtnl Post op factor maintainence3-5 days aftr surgery—fibrinolysisLocal hemostatic agents—pressure,packs,sutures,top thrombin ,stents,fibrin glues

12. perioHyperemic ging:spont & Induced bleedngPeriodontitis ---extractionProbng,supraging scalingCareful subging—replacement therapySeverely inflmd& swollen---chlorhex/gross debridement/hand instrument….ging shrinkageDeep scaling-quadrant –reduce area of bleedLocal hemostats /antifibrinolyticsBlock—raise to 30% of normalPeriosrgry warrants 50% circltngfactor+aflytcs

13. conserv & endoRubber damRct best in place of xtrn—not beyond apex

14. pedo & orthoFactor conc----extractionThorough scaling-reduce inflmn-xtract –pressure Bleeding from minor cuts—respond to local pressureUse extra oral force+short duration

15. Now be ready to treat A Hemophiliac

16. Let’s identify 9 faces in this?????????!!!!!!!!