We report our experience of successful hemostasis after dental extraction with the use of rFVIIa in a FVII deficient patient. Preoperative PT% was 25%, and FVII was less than 3%. Thirty minutes before tooth extraction, 1.2 mg of rFVIIa was injected. At the beginning of the operation, PT% was more than 200%, FVII was 336%, and the hemostasis after dental extraction was excellent. rFVIIa was used effectively and safely for dental extraction in this case of FVII deficiency.