1/7. life-threatening hemorrhage after extraction of third molars:case report and management protocol.Few dental procedures have fatal complications, but severe postoperative hemorrhage can result in preventable death. This report describes a case of postextraction hemorrhage that led to airway compromise necessitating emergency airway management. This complication is rare, and a review of the literature revealed little in the way of case reports and treatment protocols. This article reviews the causes of and risk factors related to severe postoperative bleeding and presents an algorithm for management both in the dental office and in the hospital.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/7. Unusual post-extraction hemorrhage in a cardiac patient: a case report.In patients with cyanotic congenital heart disease (CCHD), the need for antibiotic prophylaxis for infective endocarditis is well known among dentists, but not many dentists are aware of the associated hemorrhagic tendencies in such patients. We report a case of post-extraction hemorrhage in a patient with Eisenmenger's syndrome and discuss the importance of more elaborate hematologic evaluation in patients with CCHD before oral surgery.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
3/7. Disseminated intravascular coagulopathy: manifestations after a routine dental extraction.Clinical signs and symptoms of acute disseminated intravascular coagulopathy (DIC) include bleeding from body orifices, such as the nose, mouth, or ear, bleeding from an intravenous (IV) site, areas of ecchymosis, or blood in the urine or stool. The underlying disease triggering DIC usually determines the clinical presentation. However, patients with chronic DIC (compensated DIC) may possess subclinical signs and symptoms, and the bleeding disorder may only be identified through laboratory findings. In this compensated form, the triggering factor is exposed slowly and in small amounts (seen in malignancies and vasculitis), allowing replenishing of the augmented factors by the liver, adequate reticuloendothelial clearance of fibrin degradation products, and increased production of platelets, which prevent secondary fibrinolysis and the signs of bleeding. 1,4 We report a case of an 82-year-old male who presented to the emergency room 24 hours after a routine dental extraction with bleeding from the tooth socket, severe hypotension, and presence of ecchymosis on his chest. Clinical and radiographic exam revealed multiple thoracic and abdominal aortic aneurysms, as well as infrarenal and iliac aneurysms, continuous oral hemorrhage, and a unique presentation rarely documented in the literature: a bleeding tooth socket as the initial clinical sign and presentation of DIC.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
4/7. Delayed hemorrhage following endoscopic retrograde sphincterotomy for choledocholithiasis.To define the clinical significance of delayed postsphincterotomy hemorrhage, we reviewed 476 consecutive ERCP procedures performed over a three-year period. Of 250 patients who underwent endoscopic sphincterotomy (ES), five (2%) developed postprocedure hemorrhage, two of whom had immediate, self-limited bleeding that resolved after endoscopic injection of epinephrine and did not require transfusion. The other three had delayed hemorrhage characterized by: onset 20-48 hr after the procedure, melena without hematemesis as the index clinical manifestation of bleeding, and atraumatic balloon extraction of common duct stones. Transfusion of 2-6 units of packed erythrocytes was necessary in each and one patient required surgical hemostasis. Delayed hemorrhage following ERS is an important, frequently severe complication to remember when contemplating performing ERS as an outpatient procedure.- - - - - - - - - - ranking = 0.2keywords = extraction (Clic here for more details about this article) |
5/7. amoxicillin-related postextraction bleeding in an anticoagulated patient with tranexamic acid rinses.This report describes a patient who had significant postoperative bleeding 4 days after undergoing surgery while using a tranexamic acid (4.8%) mouth rinse protocol for local control of hemostatis. patients undergoing dentoalveolar surgery who are receiving chronic oral anticoagulants are treated with a tranexamic acid mouth rinse at our hospital. No systemic modification of their coagulation status is attempted. The postoperative bleeding problem that developed was determined to be caused by an antibiotic-induced vitamin k deficiency rather than a failure of the tranexamic acid protocol.- - - - - - - - - - ranking = 0.8keywords = extraction (Clic here for more details about this article) |
6/7. Hemostatic treatment after tooth extraction in a patient with factor v deficiency.BACKGROUND: factor v deficiency is a very rare hereditary coagulation disorder and tooth extraction in the patient with factor v deficiency has not been reported except in one case. patients AND TREATMENT: A 38-year-old woman with factor v deficiency was referred for extraction of the impacted lower third molar. After intravenous administration of frozen fresh plasma (FFP) and recognition of an increase of factor V level from 1-31%, upper and lower third molars were extracted. Eighteen and 48 h after the extraction, factor V was intermittently supplemented by injection of 4 and 2 units of FFP, respectively, and factor V was maintained above 12%. To form fast coagula and to protect the wound, the lower extraction socket was filled with a fibrin glue composed of factor xiii and fibrinogen (Beriplast P) and a plastic splint was applied. The wound was healed and epithelized within 2 weeks after the extraction without any bleeding or infectious consequences. CONCLUSION: Extraction in the patient with factor V hereditary deficiency is safely performed by both supplementation of factor V and application of local hemostasis.- - - - - - - - - - ranking = 1.8keywords = extraction (Clic here for more details about this article) |
7/7. Postoperative bleeding with factor vii deficiency: case report.factor vii deficiency was diagnosed during haematological investigation of a patient with multiple occurrences of postoperative bleeding after surgical extraction of an impacted upper left canine. The bleeding was eventually stopped with local measures without resorting to blood product transfusion which may have been necessary if local measures had failed to control bleeding. Abnormalities were also found in subsequent blood profiles and coagulation tests in other members of the patient's family.- - - - - - - - - - ranking = 0.2keywords = extraction (Clic here for more details about this article) |