Keila S, Kaufman A, Itckowitch D
Department of Endodontology, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University.
Oral Surg Oral Med Oral Pathol. 1990 Feb;69(2):243-6. doi: 10.1016/0030-4220(90)90335-p.
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.