Uncontrolled post extraction bleeding is encountered by many dental practitioners and literature has numerous methods to control such bleeding like use of pressure pack, bone wax,suturing etc. But which local haemostatic agent is best and simple to use with limited/no post operative complications?
Topical use of Tranexamic acid (TXA an antifibrinolytic agent) is often used by dentists who perform procedures on patients on anticoagulant treatment (Patatanian E, Fugate SE: Hemostatic mouthwashes in anticoagulated patients undergoing dental extraction, 2006). It seems effective and safe, easy to use and well accepted by patients.
Furthermore, it has been shown to reduce bleeding in orthognatic surgery (Olsen JJ, Skov et al: Prevention of Bleeding in Orthognathic Surgery-A Systematic Review and Meta-Analysis of Randomized Controlled Trials, 2015). There is also a recent Cochrane review evaluating the topical use of surgery in general.
I am not a dentist, therefore this suggestion is not based on practical knowledge but my Work on anticoagulant treatement
there is a homoeopathic medicine called Calendula..try the liquid.
Take a gauze pack with a few drops of Calendula .
put in socket immediately after extraction..it works well.
there is a homoeopathic medicine called Calendula..try the liquid.
Take a gauze pack with a few drops of Calendula .
put in socket immediately after extraction..it works well.
It would be nice to check the coagulation of the patient before any surgical procedure. The best method for coagulation is not pharmacologic, it's the pressure on the wound. If it's not working, there is something wrong in the process of producing the coagulum. The factors involved are many and the choice of the right method and it's administration require medical knowledge. Local coagulants might give the wrong impression that you solved the problem and potentially mask complications that can appear later.
My advice is to deepen your knowledge on the coagulation pathology and than take your decisions based on the cause of the problem.
Regards
Removal of granulation tissue, application of collagen into the wound, adapting sutures, local pressure and tranexamic acid mouthwash at least 4xd for 2 days are recommended.
Old fashion Gelfoam packed into the socket works well. It is a gelatin product.
Dear Prashant Battepati
pls check the links.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3403589/
http://www.dentistrytoday.com/oral-medicine/oral-surgery/1538--sp-1459248816
Thank you Atanaska Dinkova for providing the link, but it is in different language, could not understand..,
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