title: Management of a dentigerous cyst in a medically compromised geriatric patient: a case report.
abstract: BACKGROUND
  Because of the increasing number of older persons seeking dental care, the growing trend towards a longer dental appointment and increased administration of drugs in dentistry, the possibility of occurrence of medical emergencies in dental offices has shown an upward trend.
  
  
  OBJECTIVE
  This case report discusses enucleation of a central dentigerous cyst in a 72-year old male on long-term low dose aspirin therapy.
  
  
  METHODS
  Surgical removal of impacted tooth with total enucleation of cystic lesion was performed in the dental chair under 2% lidocaine with 1:200,000 adrenaline, 3 days after aspirin cessation. After complete debridement of the surgical site, the wound was sutured and a gauge saturated with 10% tranexamic acid was placed on surgical site for 30 minutes.
  
  
  RESULTS
  No post-operative complications or bleeding was seen on subsequent appointment and healing was normal.
  
  
  CONCLUSIONS
  A geriatric and medically compromised patient demands special care and attention; and the decision to cease aspirin before surgery or not is of critical importance.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Saraswati Dental College and Hospital, Lucknow (UP), India.
authors.forename: Anju
authors.initials: A
authors.lastname: Loomba
authors.forename: Kapil
authors.initials: K
authors.lastname: Loomba
authors.forename: Rhythm
authors.initials: R
authors.lastname: Bains
authors.forename: Vivek K
authors.initials: VK
authors.lastname: Bains
mesh_terms: D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage; D000933:Antifibrinolytic Agents / Q000627:therapeutic use; D001241:Aspirin / Q000008:administration & dosage / Q000627:therapeutic use*; D001641:Bicuspid / Q000601:surgery; D017742:Dental Care for Chronically Ill; D003803:Dentigerous Cyst / Q000601:surgery*; D004837:Epinephrine / Q000008:administration & dosage; D005500:Follow-Up Studies; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008336:Mandibular Diseases / Q000601:surgery*; D009407:Nerve Block / Q000379:methods; D010347:Patient Care Planning; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage / Q000627:therapeutic use*; D019106:Postoperative Hemorrhage / Q000517:prevention & control; D013923:Thromboembolism / Q000517:prevention & control; D014095:Tooth, Impacted / Q000601:surgery; D014148:Tranexamic Acid / Q000627:therapeutic use; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
chemical_list: D000779:Anesthetics, Local; D000933:Antifibrinolytic Agents; D006490:Hemostatics; D010975:Platelet Aggregation Inhibitors; D014662:Vasoconstrictor Agents; D014148:Tranexamic Acid; D008012:Lidocaine; D001241:Aspirin; D004837:Epinephrine