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POST-EXTRACTION BLEEDING COMPLICATIONS AND MANAGEMENT PROTOCOLS IN PATIENTS UNDERGOING MANDIBULAR THIRD MOLAR SURGERY
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Abstract
Post-extraction bleeding complications following mandibular third molar surgery are a common issue in dentistry, requiring timely and effective management protocols. This case series study aimed to describe the management protocols for post-extraction bleeding complications in 27 patients who underwent mandibular third molar surgery and experienced bleeding complications at the National Hospital of Odonto-Stomatology, Hanoi Medical University and Hanoi Medical University Hospital from July 2024 to June 2025. Results: All cases presented with conventional bleeding. Basic management measures such as systemic antibiotics, analgesics/anti-inflammatories, thorough irrigation, and gauze biting were applied to 100% of patients. More specific measures included cold compression to the cheek (66.7%), tranexamic acid administration (22.2%), Surgicel packing (37.0%), resuturing (7.4%), and electrocautery (3.7%). The most common management protocol (51.9%) combined basic measures with cold compression to the cheek. Notably, bleeding was successfully controlled in 100% of cases, confirming the effectiveness of current management protocols. Conclusion: This study provides in-depth insights into bleeding complication management strategies, contributing to the standardization and improvement of treatment quality.
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Keywords
Mandibular third molar, post-extraction bleeding, complications, management protocols, case series.
References
2. Nguyễn Hồng Nguyên, Hoàng Kim Loan, Nguyễn Thị Thúy Hạnh và cộng sự. Một số yếu tố lâm sàng của răng khôn hàm dưới ở nhóm đối tượng có chỉ định nhổ răng. Tạp chí Y học Việt Nam. 2022;519(2):254-258.
3. Nguyễn Trọng Đức và Nguyễn Trọng Nghĩa. Nghiên cứu biến chứng và phân loại nhổ khó răng khôn hàm dưới ở sinh viên học viện quân y năm thứ 3, năm học 2022-2023. Tạp chí Y học Việt Nam. 2024;543(2):217-221.
4. Phan Hải Đăng, Nguyễn Văn Lâm và Lâm Nhựt Tân. Nghiên cứu đặc điểm lâm sàng, X-quang và đánh giá kết quả phẫu thuật nhổ răng khôn hàm dưới lệch kết hợp sử dụng dexamethasone dạng tiêm ở bệnh nhân tại Bệnh viện Trường Đại học Y Dược Cần Thơ, năm 2021-2022. Tạp chí Y Dược học Cần Thơ. 2023;54(1):181-188.
5. Nagraj S.K., Prashanti E., Aggarwal H. and et al. Interventions for treating post‐extraction bleeding. Cochrane Database of Systematic Reviews. 2018;(3)
6. Dodson TB, Susarla SM. Impacted wisdom teeth. BMJ clinical evidence. 2014;1302.
7. Dammling C, Le J, Aljadeff L, Jones J, Ogilvie M, Morlandt A. An unusual presentation of a neck mass—traumatic pseudoaneurysm following third molar surgery: a case report. J Diagn Treat Oral Maxillofac Pathol. 2023;7(8):87-93.
8. Wahid O., Boujoual I. and Haitami S. Study of the Complications and Post-Operative Consequences of Surgical Extractions of Mandibular Wisdom Teeth. Oral Health Dental Sci. 2023;7(2):1-5.
9. Daware S.N., Balakrishna R., Deogade S.C. and et al. Assessment of postoperative discomfort and nerve injuries after surgical removal of mandibular third molar: A prospective study. Journal of family medicine and primary care. 2021;10(4):1712-1717.