Bleeding after tooth extraction

Introduction After the tooth extraction, the blood temporarily stopped. After half a day, the bleeding was not enough, and the bleeding was little by little. Dental extraction is the most common treatment technique in dentistry. Because the tooth extraction can cause local tissue damage, causing bleeding, swelling, pain and other reactions, it can also lead to fluctuations in blood pressure, body temperature and pulse, so it must be treated with caution. Patients with cardiovascular disease and blood diseases should pay attention to it, otherwise it will bring serious consequences. Do not rinse your mouth within 24 hours after tooth extraction, and you should not brush your teeth. About 24 hours after tooth extraction, the local fibroblasts just grow from the alveolar bone wall to the blood clot, and gradually make the blood clot mechanical and become firm and firm.

Cause

1 The gingiva around the tooth was torn when the tooth was extracted, and the suture was not sutured in time after the tooth extraction, resulting in bleeding of the soft tissue.

2 When the tooth was extracted, the surrounding alveolar bone was damaged, causing local alveolar bone fracture and bleeding.

3 There is residual inflammatory granulation tissue in the extraction socket, which causes bleeding of these granulation tissues after tooth extraction.

4 The small blood vessels in the alveolar socket during the extraction of the teeth cause bleeding.

5 Some patients have blood system diseases such as hemophilia, leukemia, etc. These diseases will affect the body's coagulation mechanism and cause bleeding after tooth extraction.

6 The patient failed to follow the doctor's advice. After the tooth extraction, he gargles or repeatedly spits the water, causing blood clots to form in the socket.

an examination

1, the blood temporarily stopped after tooth extraction, half a day after sputum bleeding will not stop, a little bit of bleeding.

2, oral examination: check the wound condition, with or without important vascular injury.

3, blood routine examination: check for anemia, with or without platelet abnormalities.

4, clotting time check, prothrombin examination: to rule out whether there is bleeding caused by hemophilia, coagulopathy and other diseases.

Differential diagnosis

Gingival bleeding is one of the common symptoms in dentistry. In general, gum bleeding is common in the early stages of periodontitis - gingivitis. Gingival bleeding not only occurs in dental diseases, it also occurs in other diseases of the body, which may indicate other systemic diseases such as leukemia, exposure to radioactive radiation, autoimmune diseases, etc.

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