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Oral Bleeding

Most oral bleeding results from gingivitis (see earlier article) or trauma, but if it is prolonged consider a bleeding tendency.

Dental indications for urgent admission to hospital:

Trauma

  • Middle facial third fractures

  • Mandibular fractures unless simple or undisplaced

  • Zygomatic fractures where there is danger of ocular damage

Inflammatory lesions and infections

  • Cervical or facial fascial space infection

  • Oral infections where patient is “toxic” or severely immunocompromised

  • Tuberculosis (some)

  • Severe viral infections

  • Severe vesiculobullous disorders (pemphigus, Stevens-Johnson syndrome, toxic epidermal necrolysis)

Blood loss

  • Severe or persistent haemorrhage (particularly in patient with a bleeding tendency)

Others

  • Diabetes with poor control

Trauma

After a tooth is extracted, the socket bleeds normally for a few minutes but then clots. Since clots are easily disturbed, patients should be advised not to rinse their mouth, disturb the clot, chew hard, take hot drinks or alcohol, or exercise for the next 24 hours. If the socket continues to bleed lie a gauze pad across the socket and ask the patient to bite on it for 15-30 minutes. If it is still bleeding place Surgicel or another haemostatic agent in the socket. If the bleeding continues suture the socket and, lastly, consider a bleeding tendency.

List of Common Experiences

Partially Dislodged Tooth Fully Dislodged Tooth Broken/Fractured Tooth Object Stuck Between Teeth Severe Toothache Root Canals Lost Dental Crown Lost Dental Filling Oral Bleeding Crowns & Bridges Dental Bonding Soft Tissue Injury Fillings & Sealants Jaw Injury Dentures

Find A 24/7 Dentist Near You IMMEDIATELY

Use emergency dental service to find emergency dentists near you that have the ability to care for all dental emergencies that may occur unexpectedly. Our patient support center is open to take emergency calls 24 hours a day 7 days each week and will connect you with multiple dentists that have walk-in appointment hours. To get started, call our 24/7 emergency dental service number: 1-888-350-1340, enter your zip code, and then wait to be connected with a dentist near you.