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A massive haemorrhage developing during deciduous tooth extraction in a young child: A case report
Gabriele Bocchialini1, Luca Ferrari1, Dante Burlini1
1Maxillofacial Pediatric Surgery Unit,Ospedale dei Bambini-Asst., Spedali Civili, Brescia, Italy.
International Journal of Surgery Case Reports
|February 13, 2017
Summary
A rare, life-threatening hemorrhage occurred during a routine childhood tooth extraction, highlighting potential risks in seemingly minor oral surgery. This case underscores the importance of preparedness for unexpected bleeding complications in dental practice.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
- Surgical Complications
Background:
- Major hemorrhage is uncommon but life-threatening in oral and maxillofacial surgery.
- Dental extractions in children are frequent, with blood loss being unusual.
Purpose of the Study:
- To report a rare case of severe hemorrhage during a deciduous tooth extraction.
- To highlight the diagnostic differences between preoperative and postoperative imaging.
Main Methods:
- Case report of a pediatric patient experiencing significant blood loss post-extraction.
- Comparison of orthopantomography (OPG) and maxillofacial computed tomography (MFCT) findings.
Main Results:
- A rare complication of major hemorrhage occurred during a seemingly trivial deciduous tooth extraction.
- Significant discrepancies were noted between preoperative OPG and postoperative MFCT, aiding in understanding the hemorrhage source.
Conclusions:
- While major hemorrhage is associated with complex procedures, it can occur unexpectedly during routine dental extractions.
- Surgeons must be prepared to manage acute hemorrhage, even in common procedures, emphasizing prompt diagnosis and intervention.
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