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J Korean Assoc Oral Maxillofac Surg. 2010 Jun;36(3):221-227. Korean. Case Report.
Choi YS , Kang SH , Kim MK , Lee CU , Yoo JH .
Department of Oral and Maxillofacial Surgery, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.
Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonju Christian Hospital, Yonsei University, Wonju, Korea.

The most common local cause of active gingival bleeding is the vessel engorgement and erosion by severe inflammation. Abnormal gingival bleeding is also associated with the systemic disturbances. Hemorrhagic disorders in which abnormal gingival bleeding is encountered include the following: vascular abnormalities (vitamin C deficiency or allergy), platelet disorders, hypoprothrombinemia (vitamin K deficiency resulting from liver disease), and other coagulation defects (hemophilia, leukemia). There are many conventional methods for gingival bleeding control, such as, direct pressure, electrocoagulation, direct suture, drainage, application of hemostatic agents and crushing and packing. If the active continuous gingival bleeding is not stopped in spite of the application of all conventional bleeding control methods, the life of patient is threatened owing to upper airway obstruction, syncope, vomiting and hypovolemic shock. Therefore, the rapid and correct hemostatic method is very important in the emergency dental care.

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