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Chapter-07 Bleeding in the Dental Clinic: Causes and Management

BOOK TITLE: Fundamentals of Oral Medicine and Radiology

Author
1. DN Bailoor
2. KS Nagesh
ISBN
9788180615146
DOI
10.5005/jp/books/10318_7
Edition
1/e
Publishing Year
2005
Pages
9
Author Affiliations
1. Yenepoya Dental College and Hospital, Mangalore
2. RV Dental College, Jayanagar, Bangalore
Chapter keywords

Abstract

The practising dentist may encounter bleeding in the dental clinic almost every day. The management of this condition can vary from simple pressure pack, ice pack, thrombin gel, meticulous suturing after multiple extrac­tions, Vitamin K subcutaneous injections to complex cross matched transfusions and dedicated nursing care in a hospital setup. Whenever the dentist suspects bleeding diathesis, proper documentation of the laboratory results and written consultation with physician/hematologist is indicated. Always prefer to use the team approach with hematologist and well-trained nursing staff for the total and correct patient management. Hemostatic mechanisms are those, which are evolved to conserve the blood loss in case of injury. Vessel wall integrity, adequate platelets, and function of the platelets, adequate levels of the clotting factors and the fibrinolytic pathway are some of the key elements of this mechanism.

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