Concluded Case

Complications after tooth extraction

Sir can interseptal bone triming with bone rongeur and profuse betadine irrigation into socket with curettage after tooth extraction cause severe bleeding and pain from extracted socket upto 24 hour of extraction? I gave abgel and cotton pack after extraction and asked to press ice pack after pressing cotton pack for 1 hour.then patient took trapic e tab twice but bleeding not stopped.what can I do sir

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Take medical history of patient like any heart desease patient is on blood thinner or not, diabetes, hypertension, any blood disorder .if bleeding is high then send the patient to oral surgeon . And if slight bleeding, clean the socket gently with the help of gauge dipped in local anaesthetic solution.dont irrigate again n again .put gelfoam in side the socket and suture it n give local anaesthetic gauge pack, or ice pack. instruct the patient to bite gauge piece, leave for 45 minutes, do not spit at all till 24 hrs, you can use 6_7 ice cubes pack at a time . Gently Check bleeding after 45 minutes.do not insert any instrument inside the socket. If bleeding stops give post op instructions to the patient carefully.

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Take medical history of patient like any heart desease patient is on blood thinner or not, diabetes, hypertension, any blood disorder .if bleeding is high then send the patient to oral surgeon . And if slight bleeding, clean the socket gently with the help of gauge dipped in local anaesthetic solution.dont irrigate again n again .put gelfoam in side the socket and suture it n give local anaesthetic gauge pack, or ice pack. instruct the patient to bite gauge piece, leave for 45 minutes, do not spit at all till 24 hrs, you can use 6_7 ice cubes pack at a time . Gently Check bleeding after 45 minutes.do not insert any instrument inside the socket. If bleeding stops give post op instructions to the patient carefully.

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Refer to oral surgeon for proper treatment. Also if you can suture the socket

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