Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Crown removal and endodontic drainage as a last method in active gingival bleeding with liver cirrhosis and periodontitis: a case report

간경화증과 치주염으로 과도한 치은출혈을 보인 응급환자에서 최후 지혈방법으로 치관제거와 치근관 배농술: 증례보고

  • Choi, Young-Su (Department of Oral and Maxillofacial Surgery, National Health Insurance Corporation Ilsan Hospital) ;
  • Kang, Sang-Hoon (Department of Oral and Maxillofacial Surgery, National Health Insurance Corporation Ilsan Hospital) ;
  • Kim, Moon-Key (Department of Oral and Maxillofacial Surgery, National Health Insurance Corporation Ilsan Hospital) ;
  • Lee, Chun-Ui (Department of Oral and Maxillfacial Surgery, College of Dentistry, Wonju Christian Hospital, Yonsei University) ;
  • Yoo, Jae-Ha (Department of Oral and Maxillfacial Surgery, College of Dentistry, Wonju Christian Hospital, Yonsei University)
  • 최영수 (국민건강보험공단 일산병원 구강악안면외과) ;
  • 강상훈 (국민건강보험공단 일산병원 구강악안면외과) ;
  • 김문기 (국민건강보험공단 일산병원 구강악안면외과) ;
  • 이천의 (연세대학교 치과대학 원주기독병원 구강악안면외과) ;
  • 유재하 (연세대학교 치과대학 원주기독병원 구강악안면외과)
  • Received : 2010.04.07
  • Accepted : 2010.05.28
  • Published : 2010.06.30
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Abstract

The most common local cause of active gingival bleeding is the vessel engorgement and erosion by severe inflammation. Abnormal gingival bleeding is also associated with the systemic disturbances. Hemorrhagic disorders in which abnormal gingival bleeding is encountered include the following: vascular abnormalities (vitamin C deficiency or allergy), platelet disorders, hypoprothrombinemia (vitamin K deficiency resulting from liver disease), and other coagulation defects (hemophilia, leukemia). There are many conventional methods for gingival bleeding control, such as, direct pressure, electrocoagulation, direct suture, drainage, application of hemostatic agents and crushing and packing. If the active continuous gingival bleeding is not stopped in spite of the application of all conventional bleeding control methods, the life of patient is threatened owing to upper airway obstruction, syncope, vomiting and hypovolemic shock. Therefore, the rapid and correct hemostatic method is very important in the emergency dental care. This is a case report of active gingival bleeding care via dental crown removal and emergency primary endodontic drainage as a last method in liver cirrhosis patient with advanced periodontitis.

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References

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