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Severe Recurrent Gingival Bleeding and Toothache Control in a Patient with Liver Cirrhosis and Oral Metastatic Hepatoma: Report of a Case  

Lee, Chun-Ui (Department of Oral Maxillofacial Surgery, College of Dentistry, Wonju Christian Hospital, Yonsei University)
Mo, Dong-Yub (Department of Oral Maxillofacial Surgery, College of Dentistry, Wonju Christian Hospital, Yonsei University)
Yoo, Jae-Ha (Department of Oral Maxillofacial Surgery, College of Dentistry, Wonju Christian Hospital, Yonsei University)
Choi, Byung-Ho (Department of Oral Maxillofacial Surgery, College of Dentistry, Wonju Christian Hospital, Yonsei University)
Kim, Jong-Bae (Department of Dentistry, Oral and Maxillofacial Surgery, Dongsan Medical Center, College of Medicine, Keimyung University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.32, no.6, 2010 , pp. 592-596 More about this Journal
Abstract
The common local causes of active gingival bleeding are the vessel engorgement and erosion by severe inflammation and injury to hypervascularity lesion. Abnormal gingival bleeding is also associated with systemic bleeding disorders (liver disease, leukemia etc.). There are many conventional methods for gingival bleeding control, such as, direct pressure, packing, electrocoagulation, tight suture and application of hemostatic agents. If the continuous gingival bleeding is not stopped in spite of the all local application methods, the medical consultation should be obtained for systemic condition care and the major feeding arterial embolization. This is a case report of severe gingival bleeding and periodontitis control in a patient with liver cirrhosis and oral metastatic lesion of hepatocellular carcinoma. The bleeding lesion was placed in left buccal mucosa and gingiva of the left mandibular molars. The control methods were dental crown removal, primary endodontic drainage, gingival sulcus drainage and maxillary arterial embolization with medical consultation.
Keywords
Gingival bleeding; Oral metastatic hepatoma; Primary endodontic drainage; Gingival sulcus drainage; Maxillary arterial embolization;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
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