Severe hemorrhage during an incisional biopsy: a report of a case.
BACKGROUND
Surgical procedures under local anesthesia are routinely employed by the dentist and are susceptible to significant complications which demand immediate care from the dental professional.


METHODS
This report presents a case of severe arterial hemorrhage during a simple removal of a lesion during an incisional biopsy.


CONCLUSIONS
In the event of severe arterial hemorrhage in a conventional dental office, manual compression for containing the hemorrhage and use of an adequate light source to correctly visualize the origin of the bleeding is recommended. If visible, the dental surgeon must attempt to perform vascular ligature or an occlusive suture. If the hemorrhage cannot be controlled after these measures, the patient must be transported to a hospital while continuing local compression during transit.
Cheng
Cheong Kuo
CK
School of Dentistry, Universidade de São Paulo-FOUSP, São Paulo, Brazil.
Gaia
Bruno Felipe
BF
de Oliveira Neto
Humberto Gomes
HG
Martini
Marcelo Zillo
MZ
Aburad
Arlindo
A
Shinohara
Elio Hitoshi
EH
D000328:Adult; D001706:Biopsy / Q000009:adverse effects*; D016063:Blood Loss, Surgical; D005260:Female; D005882:Gingival Diseases / Q000473:pathology*; D015745:Granuloma, Foreign-Body / Q000473:pathology* / Q000601:surgery; D006488:Hemostasis, Surgical; D006801:Humans; D006472:Oral Hemorrhage / Q000209:etiology*; D019647:Oral Surgical Procedures / Q000009:adverse effects*