A critically severe gingival bleeding following non-surgical periodontal treatment in patients medicated with anti-platelet.

Abstract:

BACKGROUND:Only a few dental procedures have been reported to cause life-threatening bleeding. All of these cases followed surgical intervention. MATERIAL AND METHODS:In this paper, we report a case of severe bleeding following non-surgical periodontal procedures in a patient treated with a dual anti-platelet regimen post-coronary stent insertion. RESULTS:Her medical history included ischaemic heart disease, hypertension and diabetes mellitus. Haemostasis was achieved at the conclusion of the non-surgical periodontal treatment. However, several hours later, the patient arrived at the emergency room and was diagnosed with hypovolemic shock. CONCLUSION:This case should raise the clinician's awareness of bleeding complications in non-surgical procedures as well as the risk for bleeding when a dual anti-platelet regimen is administered. The importance of patient monitoring and the use of local haemostatic agents is demonstrated in these cases.

journal_name

J Clin Periodontol

authors

Elad S,Chackartchi T,Shapira L,Findler M

doi

10.1111/j.1600-051X.2008.01206.x

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

342-5

issue

4

eissn

0303-6979

issn

1600-051X

pii

CPE1206

journal_volume

35

pub_type

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