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Local Techniques and Pharmacologic Agents for Management of Bleeding in Dentistry

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Hemostasis in Dentistry

Abstract

In surgical or traumatic wounds, the cessation of bleeding ranges from spontaneous hemostasis, where no intervention is required, to complex multidisciplinary management requiring multiple systemic and local therapies. Effective management begins with understanding bleeding has diverse causes. Generally, the causes of bleeding can be local, systemic, or a combination. Local factors include injured vessel(s) size and type (large versus small; arterial versus venous versus capillary) and fragility of capillaries and perivascular tissues due to age, disease, or medications. Systemic factors include drug-induced coagulopathies and underlying hematologic defects. Obtaining hemostasis is interdependent on the cause(s) of bleeding and event-specific factors such as size of wound, type of procedure/surgery performed, degree of inflammation at the wound site, and response to pharmacologic interventions.

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Authors and Affiliations

  1. Department of Dentistry/Oral and Maxillofacial Surgery, St. Joseph’s University Medical Center, Paterson, NJ, USA

    Richard P. Szumita

  2. Private Practice, Little Falls, NJ, USA

    Richard P. Szumita

  3. Department of Pharmacy Services, Brigham and Women’s Hospital, Boston, MA, USA

    Paul M. Szumita

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Correspondence to Richard P. Szumita .

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Editors and Affiliations

  1. Department of Dentistry, St. Joseph’s Regional Medical Center, Department of Dentistry, Paterson, New Jersey, USA

    Richard P. Szumita

  2. Department of Pharmacy Services, Brigham and Women’s Hospital, Department of Pharmacy Services, Boston, Massachusetts, USA

    Paul M. Szumita

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Szumita, R.P., Szumita, P.M. (2018). Local Techniques and Pharmacologic Agents for Management of Bleeding in Dentistry. In: Szumita, R., Szumita, P. (eds) Hemostasis in Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-319-71240-6_15

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  • DOI: https://doi.org/10.1007/978-3-319-71240-6_15

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