Edition V03N01 | Year 2013 | Editorial Case Report | Pages 68 to 72
Introduction: Patients presenting bleeding disorders need special care when submitted to dentistry procedures.
Objectives: The aim of this case report is to provide information on how to handle a patient with a probably diagnosis of von Willebrand disease and acute periapical abscess in tooth #23.
Methods: The patient was a white female, 35 years old, who presented to the emergency program of the School of Dentistry – Federal University of Paraná, Brazil, with extensive decay below gum level, projecting into the palate, and crown fracture exposing the root canal to the oral environment. Attention was focused on isolating the operative field, which could not be done in the conventional manner due to the extension of the caries, the proliferation of gum tissue and the patient’s systemic conditions.
Conclusion: The strategy used in this case was effective in management of coagulopathy and allowed for emergency care to be carried out without complications.