2005 Volume 51 Issue 10 Pages 512-515
Congenital factor V deficiency is a very uncommon disease. We performed tooth extraction in a patient with congenital factor V deficiency. We describe the patient and discuss treatment-related considerations.
The patient was a 27-year-old man. Congenital factor V deficiency was diagnosed immediately after birth. Three teeth at the anterior region of the maxilla were extracted while the patient received 5 units of fresh frozen plasma (FFP). After the transfusion of FFP, the serum level of factor V increased from 8% to 33%. The socket of each tooth was filled with oxidized cellulose, and the gingival tissue was sutured. The wound was then covered with an acrylic splint. Hemostasis was easily achieved, and wound healing was uneventful.