간경화증과 구강전이 간암환자에서 과도한 재발성 치은출혈과 치통조절: 증례보고
Severe Recurrent Gingival Bleeding and Toothache Control in a Patient with Liver Cirrhosis and Oral Metastatic Hepatoma: Report of a Case
이천의, 모동엽, 유재하, 최병호, 김종배,
소속 상세정보
이천의 ( Lee Chun-Ui ) - 연세대학교 치과대학 원주기독병원 구강악안면외과
모동엽 ( Mo Dong-Yub ) - 연세대학교 치과대학 구강악안면외과학교실
유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 원주기독병원 구강악안면외과
최병호 ( Choi Byung-Ho ) - 연세대학교 치과대학 구강악안면외과학교실
김종배 ( Kim Jong-Bae ) - 계명대학교 의과대학 치과학교실
KMID : 0360120100320060592
Abstract
The common local causes of active gingival bleeding are the vessel engorgement and erosion by severe inflammation and injury to hypervascularity lesion. Abnormal gingival bleeding is also associated with systemic bleeding disorders(liver disease, leukemia etc.). There are many conventional methods for gingival bleeding control, such as, direct pressure, packing, electrocoagulation, tight suture and application of hemostatic agents. If the continuous gingival bleeding is not stopped in spite of the all local application methods, the medical consultation should be obtained for systemic condition care and the major feeding arterial embolization. This is a case report of severe gingival bleeding and periodontitis control in a patient with liver cirrhosis and oral metastatic lesion of hepatocellular carcinoma. The bleeding lesion was placed in left buccal mucosa and gingiva of the left mandibular molars. The control methods were dental crown removal, primary endodontic drainage, gingival sulcus drainage and maxillary arterial embolization with medical consultation.
키워드
Gingival bleeding; Oral metastatic hepatoma; Dental crown removal; Primary endodontic drainage; Gingival sulcus drainage; Maxillary arterial embolization
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