Primary hemorrhage is postoperative bleeding that occurs immediately after an extraction. In essence, the wound does not stop bleeding. To permit clear visualization and localization of the site of bleeding, the mouth should be irrigated thoroughly with saline. The patient’s overall condition should be assessed. Once the general site of bleeding is identified, pressure should be applied for 20—30 minutes. Extraneous granulation tissue or tissue fragments should be carefully debrided. If the source of the bleeding is soft tissue (e.g., gingiva), sutures should be applied. If the source is bone, the bone may be burnished. Bee’s wax can be applied. Placement of a hemostatic agent, such as a surgical gel, in the socket may be followed by the placement of interrupted sutures. The patient then should be instructed to bite on gauze for 30 minutes. At the end of that time, coagulation should be confirmed before the patient is dismissed.
A clot may fail to form because of a quantitative or functional platelet deficiency. The former is most readily assessed by obtaining a platelet count. The normal platelet count is 200,000—500,000 cells/mm3 prolonged bleeding may occur if platelets fall below 100,000 cells/ mm3. Treatment of severe thrombocytopenia may require platelet transfusion. Qualitative platelet dysfunction most often results from aspirin ingestion and is most commonly measured by determining the bleeding time. Prolonged bleeding time requires consultation with a hematologist.
Reference: Dental Secrets, By Stephen T. Sonis, D.M.D., D.M.Sc.
To know more about Tooth Extraction and its procedure follow the link,
Dr. Thakur, Tooth Extraction, Orlando.
Dr. Murad Thakur
5480 Curry Ford Road.
Orlando, Central Florida.
Ph: 407-517-0251
email: drthakurdds@gmail.com
A clot may fail to form because of a quantitative or functional platelet deficiency. The former is most readily assessed by obtaining a platelet count. The normal platelet count is 200,000—500,000 cells/mm3 prolonged bleeding may occur if platelets fall below 100,000 cells/ mm3. Treatment of severe thrombocytopenia may require platelet transfusion. Qualitative platelet dysfunction most often results from aspirin ingestion and is most commonly measured by determining the bleeding time. Prolonged bleeding time requires consultation with a hematologist.
Reference: Dental Secrets, By Stephen T. Sonis, D.M.D., D.M.Sc.
To know more about Tooth Extraction and its procedure follow the link,
Dr. Thakur, Tooth Extraction, Orlando.
Dr. Murad Thakur
5480 Curry Ford Road.
Orlando, Central Florida.
Ph: 407-517-0251
email: drthakurdds@gmail.com
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