Application of INSTAT hemostat in the control of gingival hemorrhage in the patient with thrombocytopenia : a case report

Gingival bleeding in the patient with thrombocytopenia can be a difficult management problem. Primary therapy with platelet transfusions may not be sufficient to control the hemorrhage and adjunctive local therapy may be required. Currently, few local management techniques can effectively control th...

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Bibliographic Details
Published inOral surgery, oral medicine, oral pathology Vol. 71; no. 1; pp. 27 - 30
Main Authors GREEN, J. G, DURHAM, T. M
Format Journal Article
LanguageEnglish
Published Saint Louis, MO Mosby 1991
Subjects
Aged
Biological and medical sciences
Blood Platelets
Blood Transfusion
Dental Care for Disabled
Dental Plaque - complications
Gelatin Sponge, Absorbable - therapeutic use
Gingival Hemorrhage - etiology
Gingival Hemorrhage - therapy
Hematologic and hematopoietic diseases
Humans
Leukemia, Myeloid, Acute - complications
Male
Medical sciences
Platelet diseases and coagulopathies
Recurrence
Thrombocytopenia - complications
Human
Thrombocytopenia
Stomatology
Hemopathy
Hemorrhage
Case study
Periodontal disease
Platelet
Treatment
Hemostasis
Technique
Gingiva
Elderly
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Summary:Gingival bleeding in the patient with thrombocytopenia can be a difficult management problem. Primary therapy with platelet transfusions may not be sufficient to control the hemorrhage and adjunctive local therapy may be required. Currently, few local management techniques can effectively control this problem. INSTAT collagen absorbable hemostat can be used as a local adjunct with platelet transfusions and has certain application advantages over topical thrombin and microfibrillar collagen. Two successful techniques of INSTAT application to control gingival hemorrhage in a patient with severe thrombocytopenia in leukemic relapse are described.
ISSN:0030-4220
1878-2175
DOI:10.1016/0030-4220(91)90515-E