RT Book, Section
A1 Reichman, Eric F.
A2 Reichman, Eric F.
SR Print(0)
ID 1159809940
T1 Post-Extraction Bleeding Management
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159809940
RD 2024/04/20
AB Post-extraction  bleeding  is  a  common  problem  after  the  removal  or  extraction  of  a  tooth.  It  is  often  seen  in  the  Emergency  Department  in  the  late  evening  or  night  when  the  patient  is  unable  to  contact  their  Dentist.  Bleeding  that  occurs  within  a  few  hours  of  the  extraction  is  often  due  to  the  wearing  off  of  the  vasoconstrictor  effect  of  the  local  anesthetic  solution  used  for  anesthesia.1  The  application  of  direct  pressure  over  the  bleeding  site  by  having  the  patient  bite  down  on  a  folded  piece  of  moist  gauze  almost  always  controls  post-extraction  bleeding.1  Many  patients,  however,  will  report  that  they  have  been  doing  this  prior  to  coming  to  the  Emergency  Department  and  require  additional  assistance.  Post-extraction  bleeding  can  be  classified  depending  on  when  it  occurs  (Table  212-1).