Bleeding dental socket: Difference between revisions
No edit summary |
|||
| Line 13: | Line 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== | ||
Revision as of 17:59, 22 May 2021
Background
Clinical Features
- Bleeding from dental socket
Differential Diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Evaluation
- Clinical diagnosis
Management
- 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
- Discharge