title: Blood clots. Good when you're bleeding; bad when you're not bleeding hypercoagulability and thrombophilia--overview and case report.
abstract: A critical and recurrent situation faced by the dental clinician (DC) is that of providing care to patients who may be at risk for excessive bleeding during care or post-operatively. Bleeding disorders may be due to congenital and/or acquired conditions affecting platelets and/or the coagulation process. Less often, the DC may be providing care to a patient who has an excessive clotting disorder. This paper will provide a brief overview the pathophysiology of these disorders and treatment considerations for these patients. The focus is to provide some background information for the DC so as to be better informed if a patient does present with a particular thrombotic problem. Specific details of each disorder can vessel be assessed on an individual basis pending the diagnostic category and the patient's therapy. A clinical case report will be presented.
authors.forename: Harold V
authors.initials: HV
authors.lastname: Cohen
authors.forename: Sita
authors.initials: S
authors.lastname: Gurung
authors.forename: Samuel Y P
authors.initials: SY
authors.lastname: Quek
authors.forename: Gayathri
authors.initials: G
authors.lastname: Subramanian
authors.forename: Ali
authors.initials: A
authors.lastname: Abbas
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D020152:Antithrombin III Deficiency / Q000188:drug therapy; D001777:Blood Coagulation / Q000502:physiology*; D017742:Dental Care for Chronically Ill; D017984:Enoxaparin / Q000627:therapeutic use; D005260:Female; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D006472:Oral Hemorrhage / Q000517:prevention & control; D013536:Suture Techniques; D019851:Thrombophilia / Q000188:drug therapy / Q000503:physiopathology*; D014081:Tooth Extraction / Q000379:methods
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin; D006490:Hemostatics