title: Severe hemorrhage during an incisional biopsy: a report of a case.
abstract: 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.
authors.affiliation: School of Dentistry, Universidade de São Paulo-FOUSP, São Paulo, Brazil.
authors.forename: Cheong Kuo
authors.initials: CK
authors.lastname: Cheng
authors.forename: Bruno Felipe
authors.initials: BF
authors.lastname: Gaia
authors.forename: Humberto Gomes
authors.initials: HG
authors.lastname: de Oliveira Neto
authors.forename: Marcelo Zillo
authors.initials: MZ
authors.lastname: Martini
authors.forename: Arlindo
authors.initials: A
authors.lastname: Aburad
authors.forename: Elio Hitoshi
authors.initials: EH
authors.lastname: Shinohara
mesh_terms: 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*