Bruni Alessandro, Serra Francesca Giulia, Abate Andrea, Ugolini Alessandro, Maspero Cinzia, Silvestrini Biavati Francesca, Lanteri Valentina
Surgical, Medical and Dental Department, University of Modena and Reggio Emilia, 41121 Modena, Italy.
Private Practice, 10019 Strambino, Italy.
Dent J (Basel). 2024 Nov 25;12(12):381. doi: 10.3390/dj12120381.
Dental implants are commonly employed to address edentulism, while orthodontic treatments often incorporate mini-screws to enhance tooth movement and provide stable anchorage. Both procedures are integral to modern dental practice and frequently interact in comprehensive care scenarios. While oral health professionals routinely assess patients' medical histories before procedures, undiagnosed coagulopathies, such as Von Willebrand Disease (VWD), can present significant challenges when invasive procedures are carried out, such as the insertion of implants or mini-implants. This case report discusses the surgical placement of dental implants and orthodontic mini-screws in a patient with previously undiagnosed VWD, underscoring the potential complications and the importance of recognizing bleeding disorders in clinical practice, and provides some advice on the management of patients with previously undiagnosed VWD after/during surgical procedures. To prevent the risk of excessive bleeding, before surgery, all patients should be screened through precise questions on bleeding history.
牙种植体通常用于解决牙列缺失问题，而正畸治疗常常会使用微型螺钉来促进牙齿移动并提供稳定的支抗。这两种治疗方法都是现代牙科实践不可或缺的部分，并且在综合治疗方案中经常相互配合。虽然口腔健康专业人员在进行治疗前通常会常规评估患者的病史，但在进行侵入性操作（如植入种植体或微型种植体）时，未被诊断出的凝血障碍，如血管性血友病（VWD），可能会带来重大挑战。本病例报告讨论了在一名先前未被诊断出患有VWD的患者中进行牙种植体和正畸微型螺钉的手术植入情况，强调了潜在的并发症以及在临床实践中识别出血性疾病的重要性，并提供了一些关于对先前未被诊断出患有VWD的患者在手术过程中/手术后进行管理的建议。为防止出血过多的风险，在手术前，所有患者都应通过关于出血史的精确询问进行筛查。
