title: Oral surgery in a patient with cirrhosis and thrombocytopenia: a case report.
abstract: OBJECTIVE
  While most oral surgical procedures can be safely performed in an outpatient setting, certain medical conditions may present a higher chance of postoperative complications. In particular, those predisposing the patient to bleeding abnormalities pose a potential risk when performing such treatments. The authors report a case involving full-mouth extractions in a patient with cirrhosis and thrombocytopenia after obtaining a platelet transfusion.
  A 62-year-old Caucasian female presented to a university special care dental clinic requiring extractions. Her pertinent medical history was remarkable for cirrhosis and thrombocytopenia, with a platelet count of 32,000/uL. Upon medical consultation, the patient was appointed for a prophylactic platelet transfusion. The surgery was rendered uneventfully, and the patient achieved adequate hemostasis without hospitalization.
  
  
  CONCLUSIONS
  Patients with cirrhosis pose a potential bleeding risk with dental surgical procedures. Pre-operative medical consultation, review of pertinent laboratory values, and prophylactic platelet transfusion allow these patients to be managed safely in an outpatient setting.
authors.affiliation: Associate Director of Oral Medicine, Arizona School of Dentistry and Oral Health, A.T. Still University, Mesa, Arizona.
authors.forename: Seena
authors.initials: S
authors.lastname: Patel
authors.affiliation: Associate Dean for Post-Doctoral Education, Director, The Center for Advanced Oral Health, Associate Professor & Director, Special Care Dentistry, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, Arizona.|Associate Director, Central Arizona Region, NYU Lutheran Medical Center, Advanced Education in General Dentistry Program, Mesa, Arizona.
authors.forename: Maureen Munnelly
authors.initials: MM
authors.lastname: Perry
authors.affiliation: Professor and Director of Research, Arizona School of Dentistry and Oral Health, A.T. Still University, Mesa, Arizona.
authors.forename: Ann Eshenaur
authors.initials: AE
authors.lastname: Spolarich
mesh_terms: D017742:Dental Care for Chronically Ill / Q000379:methods*; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008875:Middle Aged; D013921:Thrombocytopenia / Q000150:complications*; D014081:Tooth Extraction / Q000379:methods*
keywords: cirrhosis; oral surgery; platelet transfusion; thrombocytopenia