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Updated: Feb 13, 2026

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Interventions for treating post-extraction bleeding.

Sumanth Kumbargere Nagraj1, Eachempati Prashanti, Himanshi Aggarwal

  • 1Department of Oral Medicine and Oral Radiology, Faculty of Dentistry, Melaka-Manipal Medical College (Manipal Academy of Higher Education), Jalan Batu Hampar, Bukit Baru, Melaka, Malaysia, 75150.

The Cochrane Database of Systematic Reviews
|March 5, 2018
PubMed
Summary
This summary is machine-generated.

Post-extraction bleeding (PEB) is a common dental complication. This review found no randomized controlled trials on PEB treatments, highlighting a need for clinical research to guide management.

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Evidence-Based Medicine

Background:

  • Post-extraction bleeding (PEB) is a frequent dental complication, defined as bleeding continuing 8-12 hours post-extraction.
  • Incidence ranges from 0% to 26%, with potential complications including hematomas and severe blood loss.
  • Causes can be local (soft tissue, bone) or systemic (platelet, coagulation disorders, medications).

Purpose of the Study:

  • To assess the effectiveness of interventions for treating various types of post-extraction bleeding.

Main Methods:

  • Searched multiple databases including Cochrane Oral Health's Trials Register, CENTRAL, MEDLINE, Embase, and CINAHL up to January 2018.
  • Included randomized controlled trials (RCTs) evaluating any intervention for PEB in any patient age or tooth type.
  • Compared interventions against each other, placebo, or no treatment.

Main Results:

  • No randomized controlled trials (RCTs) were identified for inclusion in this review.

Conclusions:

  • A significant lack of reliable evidence exists regarding interventions for post-extraction bleeding.
  • Clinicians currently rely on experience to manage PEB, considering patient-specific factors.
  • Well-designed clinical trials adhering to CONSORT guidelines are urgently needed.