Acıpınar Ş.
INTERNATIONAL DENTAL JOURNAL, sa.74, ss.68, 2024 (SCI-Expanded)
Özet
INTRODUCTION
Gingival recession is a clinical condition characterized by displacement of the gingival margin towards the apically of the enamel-cementum junction. Free gingival graft operation (FGG) is a mucogingival surgical procedure used to increase the amount of keratinized gingiva and to treat gingival recession. Although FGG is one of the safest and frequently used methods, sometimes inadequate and unpredictable results such as postoperative bleeding may occur.
CASE DESCRIPTION
The 20-year-old female patient presented in this report applied to our clinic due to gingival recession in teeth 31-41. The patient underwent a FGG to create a keratinized tissue band and treat gingival recession. The patient was referred for hematologic evaluation due to uncontrolled profuse bleeding on the 6th postoperative day and was diagnosed with Hemophilia B.
DISCUSSION
Despite all the clinical benefits of the FGG in the treatment of gingival recession, various undesirable outcomes such as bleeding, color incompatibility may occur. Hemophilia B is a rare congenital-hereditary bleeding disorder that occurs as a result of factor IX deficiency. The severity of bleeding symptoms is directly related to the degree of factor deficiency. Dental invasive treatments are among the primary causes of bleeding tendency for this patients. In this report, we present the journey of a patient who was referred to the hematology department due to intense bleeding after FGG, leading to the diagnosis of Hemophilia B.
CONCLUSION/CLINICAL SIGNIFICANCE
Dentists should suspect bleeding disorders and refer their patient to a hematologist in case of failure to maintain hemostasis and severe bleeding during or after invasive procedures.