J Korean Assoc Maxillofac Plast Reconstr Surg.  2010 Nov;32(6):592-596.

Severe Recurrent Gingival Bleeding and Toothache Control in a Patient with Liver Cirrhosis and Oral Metastatic Hepatoma: Report of a Case

• Lee CU
• Mo DY
• Yoo JH
• Choi BH
• Kim JB

Abstract

The common local causes of active gingival bleeding are the vessel engorgement and erosion by severe inflammation and injury to hypervascularity lesion. Abnormal gingival bleeding is also associated with systemic bleeding disorders (liver disease, leukemia etc.). There are many conventional methods for gingival bleeding control, such as, direct pressure, packing, electrocoagulation, tight suture and application of hemostatic agents. If the continuous gingival bleeding is not stopped in spite of the all local application methods, the medical consultation should be obtained for systemic condition care and the major feeding arterial embolization. This is a case report of severe gingival bleeding and periodontitis control in a patient with liver cirrhosis and oral metastatic lesion of hepatocellular carcinoma. The bleeding lesion was placed in left buccal mucosa and gingiva of the left mandibular molars. The control methods were dental crown removal, primary endodontic drainage, gingival sulcus drainage and maxillary arterial embolization with medical consultation.

Keyword

Gingival bleeding; Oral metastatic hepatoma; Primary endodontic drainage; Gingival sulcus drainage; Maxillary arterial embolization

MeSH Terms

Carcinoma, Hepatocellular
Crowns
Drainage
Electrocoagulation
Gingiva
Glycosaminoglycans
Hemorrhage
Humans
Inflammation
Leukemia
Liver
Liver Cirrhosis
Molar
Mouth Mucosa
Periodontitis
Sutures
Toothache
Glycosaminoglycans