438 - Von Willebrand Disease and Extraction Hemostasis

Abstract: Choquette, E. University of Nevada, Las Vegas

Von Willebrand Disease (VWD) is the most common inherited bleeding disorder and presents unique challenges in pediatric dentistry. This case report describes the management and extraction of tooth K in a 9-year-old patient with Von Willebrand Disease. Those with VWD are at a higher risk for bleeding episodes following treatment, making preoperative collaborative planning critical.
In this case, the patient presented with primary mandibular molar K with caries and pulpal necrosis displaying a furcal radiolucency, requiring extraction. After discussing medical history, a consult was obtained with the child's hematologist. The extraction was performed atraumatically and hemostasis was achieved using local measures. The patient was monitored for signs of excess bleeding.
Awareness of the disorder's impact on clot formation and proper communication between providers allows for safe management and positive outcomes.

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