Dental implants are routinely used to replace missing teeth, and orthodontic mini-screws are commonly applied to provide temporary anchorage for precise tooth movement. These procedures are frequently combined in comprehensive dental care. Although medical histories are generally reviewed before any intervention, undiagnosed bleeding disorders, such as Von Willebrand Disease (VWD), can create significant risks during invasive procedures like implant placement or mini-screw insertion. This report details a patient who underwent placement of dental implants and orthodontic mini-screws while having an unrecognized VWD. The case emphasizes the potential for intraoperative and postoperative bleeding, highlights the necessity of detecting hidden coagulopathies, and provides recommendations for managing such patients during and after surgical procedures. Careful preoperative evaluation, including focused inquiry into personal and family bleeding history, is crucial to reduce the likelihood of excessive bleeding in patients undergoing dental implant or mini-screw procedures.
