Dentoalveolar surgery is accompanied by a number of complications, one of these is bleeding. The majority of patients who bleed after extractions do not have any underlying haematological disorders and generally have had extractions previously without complications, suggesting a purely local factor in the occurrence of haemorrhage; e.g, local infection, traumatic surgery and noncompliance to postoperative instructions. Here we report a case of 14 year old female patient who reported to our department for ortho extraction and after atraumatic tooth extraction the blood continued to ooze for hours. All the local measures failed to control the oozing. Dengue has become a global problem since the second world war. No antiviral drugs or vaccine has been invented so far. The range of the disease appears to be expanding possibly due to climate change.
Gupta N, Srivastava S, Jain A, Chaturvedi UC. Dengue in India. Indian J Med Res. 2012;136(3):373–90. [PMC free article] [PubMed]
G Roopashri, MR Vaishali, Maria Priscilla David, Muqeet Baig, Anuradha Navneetham, & Karthik Venkataraghavan Clinical and Oral Implications of Dengue Fever: A Review. J Int Oral Health. 2015; 7(2): 69–73
Goldstein BH. Acute dissecting hematoma: a complication of an oral and maxillofacial surgery. J Oral Surg 1981; 39(1):40–3.
Sakamoto E, Miller R, Straitgos GT, Arthur A. Serious postextraction hemorrhage into the submandibular space: report of case. J Am Dent Assoc 1975; 90(3):654–8.
Suchman AL, Mushlin AI. How well does activated partial thromboplastin time predict postoperative hemorrhage? JAMA 1986; 256(6):750–3.
Bjorlin G, Nilsson IM. Fibrinolytic activity in alveoli after tooth extraction. Odontol Revy 1968; 19(2):197–204.
Thomas EA, John M, Bhatia A. Cutaneous manifestations of dengue viral infection in Punjab (north India) Int J Dermatol. 2007;46(7):715–9. [PubMed]
Chadwick D, Arch B, Wilder-Smith A, Paton N. Distinguishing dengue fever from other infections on the basis of simple clinical and laboratory features: Application of logistic regression analysis. J Clin Virol. 2006;35(2):147–53. [PubMed]
Sanford JP. 12th ed. Vol. 1. New York: McGraw-Hill; 1986. Harrison's Principles of Internal Medicine.
Byatnal A, Mahajan N, Koppal S, Ravikiran A, Thriveni R, Parvathi Devi MK. Unusual yet isolated oral manifestations of persistent thrombocytopenia – A rare case report. Braz J Oral Sci. 2013;12(3):233–6.
Mithra R, Baskaran P, Sathyakumar M. Oral presentation in dengue hemorrhagic fever: A rare entity. J Nat Sci Biol Med. 2013;4(1):264–7.
Guzman MG, Kouri G. Dengue and dengue hemorrhagic fever in the Americas: Lessons and challenges. J Clin Virol. 2003;27:1–13. [PubMed]
New Delhi: WHO; 2011. World Health Organization. Comprehensive Guidelines for Prevention and Control of Dengue and Dengue Haemorrhagic Fever. Revised and Expanded Edition.
Ramstrom G, Sindet–Pedersen S, Hall G, Blomback M, Alander U. Prevention of post surgical bleeding in oral surgery using tranexamic acid without dose modification of oral anticoagulants. J Oral Maxillofac Surg. 1993; 51(11):1211–1216.
Dunn CJ, Goa KL. Tranexamic acid: A review of its use in surgery and other indications. Drugs. 1999; 57(6): 1005–1032.
WHO. Dengue Guidelines for Diagnosis, Treatment, Prevention and Control (PDF). Geneva: World Health Organization, 2009.
