The Journal of Korea Assosiation for Disability and Oral Health (대한장애인치과학회지)

Korean Association for Disability and Oral Health (대한장애인치과학회)
권호 표지
DOI QR코드

DOI QR Code

THE CONTROL METHOD OF CONTINUOUS GINGIVAL BLEEDING IN A DISABLED PATIENT WITH BLEEDING DISORDER : REPORT OF A CASE

출혈성 장애환자에서 지속적인 치은출혈시 지혈법 : 증례보고

  • Son, Jeong-Seog (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Oh, Ji-Hyeon (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Yoo, Jae-Ha (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Kim, Jong-Bae (Department of Dentistry, Dong San Medical Center, Keimyung University)
  • 손정석 (연세대학교 치과대학 구강악안면외과학교실(원주세브란스기독병원)) ;
  • 오지현 (연세대학교 치과대학 구강악안면외과학교실(원주세브란스기독병원)) ;
  • 유재하 (연세대학교 치과대학 구강악안면외과학교실(원주세브란스기독병원)) ;
  • 김종배 (계명대학교 의과대학 동산의료원 치과(구강악안면외과))
  • Received : 2014.06.14
  • Accepted : 2014.06.26
  • Published : 2014.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The general local cause of gingival bleeding is the vessel engorgement and erosion by odontogenic infection. Abnormal gingival bleeding is also associated with systemic causes. Bleeding disorders in which continuous gingival bleeding is encountered include the followings : vascular abnormalities, platelet disorders, hypoprothrombinemia and other coagulation defects. There are classic methods for gingival bleeding control, such as, direct pressure, electrocoagulation, suture, crushing and application of hemostatic agents. If the continuous gingival bleeding is not stopped in spite of the conventional 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 condition. This is a case report of continuous gingival bleeding control by primary endodontic drainage & suture in a disabled patient with systemic bleeding disorders.

Keywords

References

  1. Bartlett JG, Gorbach SL : The triple threat of aspiration pneumonia. Chest, 68:560-566, 1975. https://doi.org/10.1378/chest.68.4.560
  2. Dembo JB : Diagnosis and management of oral surgical complications. In : Emergency dental care. Edited by Falace DA : Baltimore, Williams and Wilkins, 227-253, 1995.
  3. Glickman I : Clinical periodontology; prevention, diagnosis, and treatment of periodontal disease in the practice of general dentistry, 4th ed. Philadelphia, WB Saunders, 123-125, 1972.
  4. Little JW, Falace DA, Miller CS, Rhodus NL : Bleeding disorders. In: Dental management of the medically compromised patient. Edited by Little JW, Falace DA, Miller CS, Rhodus NL : Saint Louis, Mosby, 332-364, 2002.
  5. Min BI : Color atlas of maxillofacial plastic surgery. Seoul, Koon Ja Publishing Co., 45-61, 1990.
  6. Kim SN, Yum KW, Lee MS, Lee SW, Lee SJ : Emergency care in dental office, 3rd ed. Seoul, Jee Sung Publishing Co., 162-187, 2000.
  7. Lewis JH : Coagulation defects. JAMA, 178;1014-1020, 1961. https://doi.org/10.1001/jama.1961.73040490010008
  8. Conley JJ : Blood vessel complications. In: Complications of head and neck surgery. Edited by Conley JJ : Philadelphia, WB Saunders, 66-80, 1979.
  9. Yoo JH, Kang SH, Kim HS, Kim JB : A clinical study on the emergency patients with active oral bleeding. J Korea Assoc Oral Maxillofac Surg, 28:383-389, 2002.
  10. Grant DA, Stern IB, Everett FG : Orban's periodontics: a concept-theory and practice, 4th ed. Saint Louis, Mosby, 473-483, 1972.
  11. Kruger Go : Textbook of oral and maxillofacial surgery, 6th ed. Saint Louis, Mosby, 229-254, 1984.
  12. Goldberg MH : Prevention and control of infection in the surgical patient. In: Management of infections of the oral and maxillofacial regions. Edited by Topazian RG, Goldberg MH : Philadelphia, WB Saunders, 329-350, 1981.
  13. Sonis ST, Fazio RC, Fang L : Principles and practice of oral medicine, 2nd ed. Philadelphia, WB Saunders, 242-261, 1995.
  14. Patton LL, Ship JA : Treatment of patients with bleeding disorders. Dent Clin North Am, 38:465-482, 1994.
  15. Kim J, Yoo JH, Yoon JH, Chung WG, Choi GL : The guideline of dental treatment for medically compromised patients. Seoul, Koon Ja Publishing Co., 3-10, 143-56, 2005.
  16. Kang HS, Moon HJ, Song KH, Kim SG : Contemporary oral and maxillofacial surgery. Seoul, Ko Moon Sa Publishing Co., 118-22, 2007.
  17. Grossman LI : Endodontic practice, 8th ed. Philadelphia, Lea and Febiger, 151-168, 1974.
  18. Lim SS : Clinical endodontics, 1st ed. Seoul, Dental and Medical Publishing Co., 1-15, 1994.
  19. Peterson LJ : Principles of management and prevention of odontogenic infections. In: Contemporary oral and maxillofacial surgery. Edited by Peterson LJ, Ellis III E, Hupp JR, Tucker MR : Saint Louis, Mosby, 383-408, 1988.
  20. Korean Association of Oral and Maxillofacial Surgeons : Textbook of oral and maxillofacial surgery, third edition. Seoul, Medical and Dental Publishing Co., 131-184, 2013.