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BLEEDING CONTROL BY CONTINUOUS WOUND DRAINAGE OF ACTIVE BLEEDING SITES OF TEETH EXTRACTION WOUND IN A PATIENT WITH ADVANCED LIVER CIRRHOSIS : REPORT OF A CASE  

Mo, Dong-Yub (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital))
Yoo, Jae-Ha (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital))
Choi, Byung-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital))
Kim, Ha-Rang (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital))
Lee, Chun-Ui (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital))
Ryu, Mi-Heon (Department of Oral pathology, School of Dentistry, Yangsan Campus of Pusan National University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.35, no.6, 2009 , pp. 431-436 More about this Journal
Abstract
There are five principal causes for excessive bleeding in the immediate postextraction phase ; (1) Vascular wall alteration (wound infection, scurvy, chemicals, allergy) (2) Disorders of platelet function (genetic defect, drug-aspirin, autoimmune disease) (3) Thrombocytopenic purpuras (radiation, leukemia), (4) Inherited disorders of coagulation (hemophilia, Christmas disease, vitamin deficiency, anticoagulation drug-heparin, coumarin). If the hemorrhage from postextraction wound is unusually aggressive, and then dehydration and airway problem are occurred, the socket must be packed with gelatine sponge(Gelfoam) that was moistened with thrombin and wound closure & pressure dressing are applied. The thrombin clots fibrinogen to produce rapid hemostasis. Gelatine sponges moistened with thrombin provide effective coagulation of hemorrhage from small veins and capillaries. But, in dental alveoli, gelatine sponges may absorb oral microorganisms and cause alveolar osteitis (infection). This is a case report of bleeding control by continuous rubber strip & iodoform gauze drainage (without gelfoam packing) of active bleeding infection sites of three teeth extraction wounds in a 46-years-old female patient with advanced liver cirrhosis.
Keywords
Active oral bleeding; Dental extraction wound; Liver cirrhosis; Continuous wound drainage; Bleeding control;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Falace DA. Emergency dental care. Baltimore: Williams and Wilkins Co.,1995;227-53
2 Kim J, Yoo JH, Yoon JH, Chung WG, Choi GR. A clinical guide in dental management of the medically compromised patient, Second edition. Seoul: Kun Ja Publishing Co.,2007;11-32, 95-102, 131-42
3 Steinberg MJ and Moores JF. Use of INR to assess degree of anticoagulation in patients who have dental procedures. J Oral Surg Oral Med Oral Path 1995;80:175-7   DOI   PUBMED   ScienceOn
4 Sun HS, Kang JM, Kim YS, Kim JM, Kim CW, Park SY et al. Harrison's principles of internal medicine. Sixteenth edition. a translated literature. Seoul, MIP Publishig Co.,2006;731-53,2026-38
5 Kim JB, Chung WG, Nor HJ, Hang SO, Yoo JH, Han SK et al. A clinical study on the care of odontogenic infections in the patients with major bleeding disorders. Journal of Korean Association of Oral and Maxillofacial Surgeons 2003;29(5):330-37
6 Sonis ST, Fazio RC and Fang L. Principles and practice of oral medicine. Second edition. Philadelphia: W.B. Saunders Co.,1995;242-61
7 Topazian RG and Goldburg MH. Management of infections of the oral and maxillofacial regions. Philadelphia: W.B. Saunders Co.,1981;329-50
8 Patton LL and Ship JA. Treatment of patients with bleeding disorders. Dent Clin Nor Am 1994;38:465-82
9 Min BI. Maxillofacial plastic surgery. Seoul: Kun Ja Publishing Co.,1990;45-61
10 Barber A. The bleeding time as a preoperative screening test. Am J Med 1985;78:761-5   DOI   PUBMED   ScienceOn
11 Shin DH, Choi HR, Kim SY, Kim CH, Shin HC, Lee HR et al. Family medicine. Second edition. Seoul: Ke Chook Publishing Co.,2003;993-8
12 Yoo JH, Kang SH, Kim HS and Kim JB. A clinical study on the emergency patients with active oral bleeding. Journal of Korean Association of Oral and Maxillofacial Surgeons 2002;28(5):383-89
13 Little JW and Falace DA. Dental management of the medically compromised patient, Sixth edition. Saint. Louis: C.V. Mosby Co.,2002:161-87, 332-64
14 Rodgers GM. Overview of platelet function. Clin Obstet Gynecol 1999;42(2):349-59   DOI   PUBMED   ScienceOn
15 Schardt SD. Update on coagulopathies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:559-63   DOI   PUBMED   ScienceOn
16 Laskin DM. Oral and maxillofacial surgery. Vol II. Saint Louis: C.V. Mosby Co.,1985;362-98
17 Kelly MA. Common laboratory tests. their use in the detection and management of patients with bleeding disorders. Gen Dent 1990;38(4):282-5   PUBMED
18 Conley JJ. Complications of head and neck surgery. Philadelphia: W.B. Saunders Co.,1979;66-80
19 Kruger GO. Textbook of oral and maxillofacial surgery. Sixth edition. Saint. Louis: C.V. Mosby Co.,1984;229-54