Antiphospholipid syndrome is a thrombophilic disorder in which the presence of serum autoantibodies to phospholipid causes disruption of the protein C antithrombotic pathway. Deposition of these autoantibodies in small blood vessels can lead to intimal hyperplasia and acute thromboses. The associated hypercoagulopathy is problematic in dentistry since, if proper haemostasis is not achieved prior to discharge of exodontia patients, excessive haematoma formation may result. This case report and review of the literature discusses the condition in the context of hypercoagulation with reference to a patient undergoing a simple extraction, and suffering post-operative complications amounting to a large haematoma requiring evacuation. CPD/Clinical Relevance: Post-operative bleeding is one of the most common complications of exodontia. This case report and review of the literature provides the reader with a concise summary of the clotting cascade in parallel with an unusual case of post-operative bleeding.
Healthcare professionals are required to complete regular training in safeguarding children and, in this training, dental caries and poor oral hygiene are often cited as potential indicators of neglect. Nurses may be the first healthcare professionals to detect poor oral health in a child, although unfortunately the relationship between neglect and dental caries in children is unclear. Any healthcare professional suspicious of child abuse or neglect has responsibility to follow the appropriate protocol and report their concerns. If dental neglect is suspected then the opinion of a dentist will be required as part of the investigation.
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