Abstract:
Bleeding is a common outcome of periodontal or oral surgery, but there is currently conflicting data suggesting that isotretinoin may have an adverse effect on wound healing, specifically from dental procedures such as periodontal treatments; these patients, characterized by a tendency to bleeding, constitute a serious challenge in the dental practice. Although advances in the medical diagnosis of hemostatic disorders have exposed dental professionals to new patients not agreeable to the application of the management protocols associated with other, better-known, complaints. There is no aspects relating to the care of such patients must be recognized and taken into consideration when dental treatment is planned and should be informed the patient of the proposed treatment. It is the aim of this paper to highlight the areas of major concern, and to suggest management regimens for patients who take an isotretinoin, describes two cases of abnormal bleeding in two young female patients,
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Prior to surgical procedure, routine hematological examinations were done and all the values were found to be within normal limits. The patient deprived of any history of NSAID use prior to her surgical procedure. She also denied taking any herbal medications. Scaling & Root planing were performed at the initial appointment, and a few days later, a periodontal flap surgery procedure was planned to treat the site. The patient was given oral antibiotics, analgesics and antiseptic mouthwash for 5