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Updated: Jul 13, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Accidental oral bleeding in a dementia patient taking anticoagulants: A case report
Miki Yamada1, Kyoko Suzuki2, Yosuke Iijima1
1Department of Oral and Maxillofacial Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Introduction:
Identifying the causes of accidental oral bleeding can be difficult in patients with dementia. The aim of this study was to highlight the effectiveness of multidisciplinary consultation, which proved extremely useful in investigating the cause of bleeding in this case.
Case Presentation:
An 86-year-old woman on anticoagulants who had been admitted to a geriatric facility experienced repeated oral bleeding of unknown cause, initially attributed to periodontitis.
Conclusion:
Along with anticoagulant use, a multidisciplinary consultation attributed the bleeding to the use of a spoon at mealtimes and possible scratching at the wound by the patient with her fingers.
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