Hemostasis: Prevention of blood loss after injury.
Pathophysiology of hemostasis accrue by 3 main phases
Vascular phase : which is the primary hemostasis by
vasoconstriction of the arteries and vein injured.
Platelet Phase: aggregation and stabilization of a hemostatic platelet on the site of injury.
Coagulation phase (secondary hemostasis):
Activation of Coagulation factors within intrinsic or extrinsic pathway .
Types of bleeding: The 1st type bleeding that occurs several hours after the
Extraction is called reactionary hemorrhage. This …show more content…
This occurs after 24 hours of the extraction being carried out. Which is mainly caused from infection. Infection: after loosing of blood clot the bone is exposed to the oral environment and become inflamed and infected from the bacteria , for example: dry socket Which is a bacterial infection that occur after tooth extraction Mostly affected after extraction of impacted third molar. Dental management
By taking a good medical history of the patient to know the cause of the bleeding to manage it .
The management of bleeding that occurs after extraction
involves the removal of any debris from the wound
surface that promotes the infection of the wound Local
measures to control blood loss example: Gelfoam , suture
and pressure.
The usual protocol involved in the treatment of this group
of patients consist of pre-operative blood test investigation
to correct the deficiency by consultation with the
physician.
Platelets count N 100,000-400,000
Platelet transfusion will be needed for patient with