Uncontrolled bleeding during endodontic treatment as the first symptoms for diagnosing von Willebrand's disease. A case report.
Von Willebrand's disease has been established as the most common hereditary hemorrhagic disease. Endodontic treatment, when possible, rather than extraction is the treatment of choice in patients suffering from such a disease. A case is presented in which, during regular endodontic treatment, uncontrollable bleeding occurred, suggestive of a generalized bleeding disorder. A thorough hematologic examination revealed von Willebrand's disease, which the patient was not aware of. The dental surgeon can play an important role in the diagnosis and treatment of such patients.
Keila
S
S
Department of Endodontology, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University.
Kaufman
A
A
Itckowitch
D
D
D000328:Adult; D003730:Dental Care for Persons with Disabilities; D005260:Female; D006801:Humans; D006472:Oral Hemorrhage / Q000209:etiology*; D010508:Periodontal Abscess / Q000150:complications* / Q000601:surgery; D010518:Periodontitis / Q000150:complications*; D011292:Premedication; D011670:Pulpectomy; D011859:Radiography; D012390:Root Canal Therapy / Q000009:adverse effects; D014092:Tooth Root / Q000000981:diagnostic imaging / Q000293:injuries*; D014842:von Willebrand Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy