Bleeding dental socket - Revision history

Rossdonaldson1: /* Background */

2021-12-02T20:56:23Z

Background

← Revisión anterior		Revisión del 20:56 2 dic 2021
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	==Background==		==Background==
			[[File:Enamel.png\|thumb\|Diagram of the tooth displaying the enamel, dentin, and pulp]]
	{{Dental numbers}}		{{Dental numbers}}

2021-12-02T20:54:24Z

Background

2021-05-22T18:22:09Z

Management

← Revisión anterior		Revisión del 18:22 22 may 2021
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	*Direct pressure on site of bleeding (can have patient bite on gauze or tea bag)		*Direct pressure on site of bleeding (can have patient bite on gauze or tea bag)
	**Pressure should be applied for 20 minutes		**Pressure should be applied for 20 minutes
	**Smaller gauze with focal pressure better than larger gauze that covers adjacent ~~tooth~~ occlusal surface		**Smaller gauze with focal pressure better than larger gauze that covers adjacent teeth occlusal surface
	**Large clots should be wiped away prior to applying gauze		**Large clots should be wiped away prior to applying gauze
	*If direct pressure unsuccessful:		*If direct pressure unsuccessful:
	**Lidocaine with epinephrine injection ~~if unsuccessful~~; reapply gauze		**Lidocaine with epinephrine injection; reapply gauze
	**Apply small piece of absorbable gelatin sponge (e.g. - Surgicel)		**Apply small piece of absorbable gelatin sponge (e.g. - Surgicel)
	**Consider [[Tranexamic acid]] (TXA): soak gauze in solution and apply to socket, with pressure		**Consider [[Tranexamic acid]] (TXA): soak gauze in solution and apply to socket, with pressure

2021-05-22T18:19:47Z

Evaluation

← Revisión anterior		Revisión del 18:19 22 may 2021
Línea 10:		Línea 10:
	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
	*~~Normal~~ oozing ~~may occur~~ for up to 24 hours post-extraction <ref> Hupp J, Tucker MR, Ellis E. Contemporary oral and maxillofacial surgery.6th ed. Mosby, 2013. </ref>		*Slight oozing normal for up to 24 hours post-extraction <ref> Hupp J, Tucker MR, Ellis E. Contemporary oral and maxillofacial surgery.6th ed. Mosby, 2013. </ref>
	*Evaluate for bleeding disorder if bleeding not controlled with simple pressure (post-extraction bleeding often initial manifestation of coagulopathy) <ref> Tintinalli, Emergency Medicine, 4th edition, pg. 1109 </ref>		*Evaluate for bleeding disorder if bleeding not controlled with simple pressure (post-extraction bleeding often initial manifestation of coagulopathy) <ref> Tintinalli, Emergency Medicine, 4th edition, pg. 1109 </ref>
	**CBC		**CBC

2021-05-22T18:18:41Z

Evaluation

← Revisión anterior		Revisión del 18:18 22 may 2021
Línea 10:		Línea 10:
	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
			*Normal oozing may occur for up to 24 hours post-extraction <ref> Hupp J, Tucker MR, Ellis E. Contemporary oral and maxillofacial surgery.6th ed. Mosby, 2013. </ref>
	*Evaluate for bleeding disorder if bleeding not controlled with simple pressure (post-extraction bleeding often initial manifestation of coagulopathy) <ref> Tintinalli, Emergency Medicine, 4th edition, pg. 1109 </ref>		*Evaluate for bleeding disorder if bleeding not controlled with simple pressure (post-extraction bleeding often initial manifestation of coagulopathy) <ref> Tintinalli, Emergency Medicine, 4th edition, pg. 1109 </ref>
	**CBC		**CBC

2021-05-22T18:17:00Z

Management

← Revisión anterior		Revisión del 18:17 22 may 2021
Línea 17:		Línea 17:
	*Direct pressure on site of bleeding (can have patient bite on gauze or tea bag)		*Direct pressure on site of bleeding (can have patient bite on gauze or tea bag)
	**Pressure should be applied for 20 minutes		**Pressure should be applied for 20 minutes
			**Smaller gauze with focal pressure better than larger gauze that covers adjacent tooth occlusal surface
	**Large clots should be wiped away prior to applying gauze		**Large clots should be wiped away prior to applying gauze
	*If direct pressure unsuccessful:		*If direct pressure unsuccessful:

2021-05-22T18:04:53Z

Evaluation

← Revisión anterior		Revisión del 18:04 22 may 2021
Línea 10:		Línea 10:
	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
			*Evaluate for bleeding disorder if bleeding not controlled with simple pressure (post-extraction bleeding often initial manifestation of coagulopathy) <ref> Tintinalli, Emergency Medicine, 4th edition, pg. 1109 </ref>
			**CBC
			**PT/INR

	==Management==		==Management==

2021-05-22T17:59:29Z

Management

← Revisión anterior		Revisión del 17:59 22 may 2021
Línea 13:		Línea 13:
	==Management==		==Management==
	*Direct pressure on site of bleeding (can have patient bite on gauze or tea bag)		*Direct pressure on site of bleeding (can have patient bite on gauze or tea bag)
			**Pressure should be applied for 20 minutes
			**Large clots should be wiped away prior to applying gauze
			*If direct pressure unsuccessful:
			**Lidocaine with epinephrine injection if unsuccessful; reapply gauze
			**Apply small piece of absorbable gelatin sponge (e.g. - Surgicel)
			**Consider [[Tranexamic acid]] (TXA): soak gauze in solution and apply to socket, with pressure
			**Flaps may be sutured closed

	==Disposition==		==Disposition==

2017-02-11T23:36:32Z

← Revisión anterior		Revisión del 23:36 11 feb 2017
Línea 1:		Línea 1:
			==Background==


			==Clinical Features==
			*Bleeding from dental socket

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Template:Dental Problems DDX}}		{{Template:Dental Problems DDX}}

			==Evaluation==
			*Clinical diagnosis

	==Management==		==Management==
	~~Apply~~ pressure ~~by having~~ patient bite on gauze or tea bag		*Direct pressure on site of bleeding (can have patient bite on gauze or tea bag)

			==Disposition==
			*Discharge

	==See Also==		==See Also==
	*[[Dental ~~Problems~~]]		*[[Dental problems]]

	==References==		==References==
	<references/>		<references/>
	*ER Atlas



	[[Category:ENT]]		[[Category:ENT]]
	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Symptoms]]		[[Category:Symptoms]]

2016-10-29T17:08:38Z

References