Managing Local Bleeding in Dentoalveolar Surgery: Practical Techniques and Best Practices: A Narrative Review.

Area of Science:

• Oral and Maxillofacial Surgery
• Hemostasis
• Dentoalveolar Procedures

Background:

• Managing local bleeding is critical for dentoalveolar surgery success.
• High-risk patients (bleeding disorders, anticoagulants) require specialized hemostatic strategies.
• Patient-centered approaches minimize risks in complex cases.

Purpose of the Study:

• To review practical and advanced methods for controlling bleeding in dentoalveolar surgery.
• To provide guidance for optimizing hemostasis in diverse patient populations.
• To enhance patient outcomes and reduce perioperative complications.

Main Methods:

• Narrative review of current literature.
• Examination of conventional and advanced hemostatic techniques.
• Evaluation of pharmacological and innovative materials.

Main Results:

• Conventional methods include compression, sutures, and vasoconstrictors.
• Topical agents (gelatin sponges, oxidized cellulose, tranexamic acid) are effective for high-risk patients.
• Innovative materials and laser techniques offer promising enhanced safety.

Conclusions:

• Clinicians gain practical guidance for optimizing dentoalveolar surgery hemostasis.
• Recommendations support balanced local and systemic hemostatic management.
• Improved patient outcomes and reduced complications are achievable.