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KMID : 1144020140100010031
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Journal of Korean Association for Disability and Oral Health
2014 Volume.10 No. 1 p.31 ~ p.37
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THE CONTROL METHOD OF CONTINUOUS GINGIVAL BLEEDING IN A DISABLED PATIENT WITH BLEEDING DISORDER : REPORT OF A CASE
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Son Jeong-Seog
Oh Ji-Hyeon
Yoo Jae-Ha
Kim Jong-Bae
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Abstract
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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.
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KEYWORD
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Bleeding disorders, Gingival bleeding, Endodontic drainage
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