Blood Loss in Oral Surgery

Johnson, Richard L.; Jenss, Rachel M.

doi:10.1177/00220345560350020301

Cited by 30 publications

(4 citation statements)

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“…When they have, as in the present investigation in which the experience of the surgeon is shown to have had no effect, a negative result is usually obtained. Buchman (1953) observed no correlation between the patient's weight and blood loss in vaginal surgery and Johnson and Roddick (1956) found no relationship between blood loss in vaginal surgery and the day of operation relative to the menstrual cycle, including surgery performed during menstruation. The fact is that some patients, for unknown reasons, bleed to an inordinate degree during surgery, whilst others, in no way distinguishable from these, present a dry operating field to the surgeon.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Anaesthesia, Hypotension, and Epidural Analgesia on Blood Loss in Surgery for Pelvic Floor Repair

Donald

1969

British Journal of Anaesthesia

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Section: Discussionmentioning

confidence: 99%

The Effect of Anaesthesia, Hypotension, and Epidural Analgesia on Blood Loss in Surgery for Pelvic Floor Repair

Donald

1969

British Journal of Anaesthesia

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“…Patients receiving warfarin who undergo dental extractions may have prolonged and excessive haemorrhage. [1][2][3][4][5][6][7][8] The clinician who is faced with a warfarinized patient requiring extractions has to balance the risk of reducing or stopping the anticoagulant therapy with that of excessive bleeding. Traditionally emphasis has been given to stopping bleeding by altering the warfarin dosage.…”

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confidence: 99%

Current concepts of the management of dental extractions for patients taking warfarin

Carter

Goss

Lloyd

et al. 2003

Australian Dental Journal

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Background: Controversy has surrounded the correct management of patients therapeutically anticoagulated with warfarin who require dental extractions. The risk of bleeding must be weighed up against the risk of thromboembolism when deciding whether to interfere with a patient's warfarin regimen. An improved understanding of the importance of fibrinolytic mechanisms in the oral cavity has resulted in the development of various local measures to enable these patients to be treated on an outpatient basis. Methods: A review of the literature was undertaken. This was supplemented by the authors' clinical trials and extensive clinical experience with anticoagulated patients. Results: Various protocols for treating patients taking warfarin have been reviewed and summarized and an overview of the haemostatic and fibrinolytic systems is presented. A protocol for management of warfarinized patients requiring dental extractions in the outpatient setting is proposed. Conclusions: Patients therapeutically anticoagulated with warfarin can be treated on an ambulatory basis, without interruption of their warfarin regimen provided appropriate local measures are used.

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“…The extent of blood loss associated with oral surgery and periodontal surgery has been measured in a number of studies (1 -13). The routine extraction of a single tooth results in the loss of only approximately 10 ml blood (11), whereas major oral surgery can be associated with losses in excess of 500 ml (4,6,10,12,14). Losses of this magnitude approach the level at which fluid replacement might be considered (4,6,15).…”

mentioning

confidence: 99%

“…The routine extraction of a single tooth results in the loss of only approximately 10 ml blood (11), whereas major oral surgery can be associated with losses in excess of 500 ml (4,6,10,12,14). Losses of this magnitude approach the level at which fluid replacement might be considered (4,6,15). Blood loss during periodontal surgery can also be extensive, although losses greater than 100 ml are likely to occur only in fullmouth periodontal flap procedures (1,2,5,7,16).…”

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Blood loss during endodontic surgery

Selim

Deeb

Messer

1987

Dental Traumatology

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The volume of blood lost during endodontic surgery was measured for 60 patients undergoing routine surgical procedures using local anesthesia. Blood loss averaged 9.5 ml for all patients, with a range of 1.2 to 48.4 ml. Operating time was the major variable influencing blood loss; the rate of blood loss correlated very strongly (r = 0.86) with duration of surgery. Other than palatal surgery of maxillary molars, differences in blood loss associated with different teeth were small. Endodontic surgery on any teeth in either arch was far below the level at which fluid replacement therapy might be considered, and was comparable to loss during single tooth extractions.

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Blood Loss in Oral Surgery

Cited by 30 publications

References 1 publication

The Effect of Anaesthesia, Hypotension, and Epidural Analgesia on Blood Loss in Surgery for Pelvic Floor Repair

The Effect of Anaesthesia, Hypotension, and Epidural Analgesia on Blood Loss in Surgery for Pelvic Floor Repair

Current concepts of the management of dental extractions for patients taking warfarin

Blood loss during endodontic surgery

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