간경화증과 치주염으로 과도한 치은출혈을 보인 응급환자에서 최후 지혈방법으로 치관제거와 치근관 배농술 : 증례보고
Crown removal and endodontic drainage as a last method in active gingival bleeding with liver cirrhosis and periodontitis: a case report
최영수, 이천의, 유재하, 강상훈, 김문기,
소속 상세정보
최영수 ( Choi Young-Su ) - 국민건강보험공단 일산병원 구강악안면외과
이천의 ( Lee Chun-Ui ) - 연세대학교 치과대학 원주기독병원 구강악안면외과
유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 원주기독병원 구강악안면외과
강상훈 ( Kang Sang-Hoon ) - 국민건강보험공단 일산병원 구강악안면외과
김문기 ( Kim Moon-Key ) - 국민건강보험공단 일산병원 구강악안면외과
KMID : 0355620100360030221
Abstract
The most common local cause of active gingival bleeding is the vessel engorgement and erosion by severe inflammation. Abnormal gingival bleeding is also associated with the systemic disturbances. Hemorrhagic disorders in which abnormal gingival bleeding is encountered include the following: vascular abnormalities (vitamin C deficiency or allergy), platelet disorders, hypoprothrombinemia (vitamin K deficiency resulting from liver disease), and other coagulation defects (hemophilia, leukemia). There are many conventional methods for gingival bleeding control, such as, direct pressure, electrocoagulation, direct suture, drainage, application of hemostatic agents and crushing and packing. If the active continuous gingival bleeding is not stopped in spite of the application of all conventional bleeding control 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 dental care. This is a case report of active gingival bleeding care via dental crown removal and emergency primary endodontic drainage as a last method in liver cirrhosis patient with advanced periodontitis.
키워드
Active gingival bleeding;Liver cirrhosis;Dental crown removal;Emergency primary endodontic drainage
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