A critically severe gingival bleeding following non-surgical periodontal treatment in patients medicated with anti-platelet.
BACKGROUND
Only a few dental procedures have been reported to cause life-threatening bleeding. All of these cases followed surgical intervention.


METHODS
In this paper, we report a case of severe bleeding following non-surgical periodontal procedures in a patient treated with a dual anti-platelet regimen post-coronary stent insertion.


RESULTS
Her medical history included ischaemic heart disease, hypertension and diabetes mellitus. Haemostasis was achieved at the conclusion of the non-surgical periodontal treatment. However, several hours later, the patient arrived at the emergency room and was diagnosed with hypovolemic shock.


CONCLUSIONS
This case should raise the clinician's awareness of bleeding complications in non-surgical procedures as well as the risk for bleeding when a dual anti-platelet regimen is administered. The importance of patient monitoring and the use of local haemostatic agents is demonstrated in these cases.
Elad
Sharon
S
Department of Oral Medicine, Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel. eladhome@md.huji.ac.il
Chackartchi
Tali
T
Shapira
Lior
L
Findler
Mordechai
M
D001241:Aspirin / Q000009:adverse effects; D000077144:Clopidogrel; D004338:Drug Combinations; D005260:Female; D005884:Gingival Hemorrhage / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010518:Periodontitis / Q000628:therapy*; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control; D016745:Root Planing / Q000009:adverse effects*; D012769:Shock / Q000209:etiology*; D013988:Ticlopidine / Q000009:adverse effects / Q000031:analogs & derivatives
D004338:Drug Combinations; D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin