Sharp tooth induced sublingual hematoma in a patient with elevated international normalized ratio
Sublingual hematoma secondary to anticoagulation is a rare fatal condition. Hemorrhagic complications of warfarin are well-known. This particular case is unique because the patient was on warfarin for the past 2 years but did not develop the sublingual hematoma. However, a trauma by an attrited shar...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Contemporary Clinical Dentistry |
| Subjects: | |
| Online Access: | http://www.contempclindent.org/article.asp?issn=0976-237X;year=2015;volume=6;issue=1;spage=137;epage=138;aulast=Baliah |
| _version_ | 1818999666489950208 |
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| author | John Baliah Kayalvizhi Vishwanath Rangdhol David Livingstone |
| author_facet | John Baliah Kayalvizhi Vishwanath Rangdhol David Livingstone |
| author_sort | John Baliah |
| collection | DOAJ |
| description | Sublingual hematoma secondary to anticoagulation is a rare fatal condition. Hemorrhagic complications of warfarin are well-known. This particular case is unique because the patient was on warfarin for the past 2 years but did not develop the sublingual hematoma. However, a trauma by an attrited sharp cusp triggered the episode of the sublingual hematoma in this patient. Being a medical emergency, patient was promptly hospitalized in cardiac care unit and managed by medical team. The patient was transfused with 2 units of fresh frozen plasma and warfarin was temporarily stopped for 4 days. Alternate day regimen of warfarin was started after 4 days, and international normalized ratio dropped to 3. In dental management, enameloplasty of the mandibular first molar tooth was done to prevent trauma and ulcer development in the floor of the mouth. The hematoma resolved, and no new hematoma formation was observed for a period of 6 months. |
| first_indexed | 2024-12-20T22:21:03Z |
| format | Article |
| id | doaj.art-0386ebdbb4e44eb08f6468790cf58de3 |
| institution | Directory Open Access Journal |
| issn | 0976-237X 0976-2361 |
| language | English |
| last_indexed | 2024-12-20T22:21:03Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Contemporary Clinical Dentistry |
| spelling | doaj.art-0386ebdbb4e44eb08f6468790cf58de32022-12-21T19:24:56ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612015-01-016113713810.4103/0976-237X.149311Sharp tooth induced sublingual hematoma in a patient with elevated international normalized ratioJohn BaliahKayalvizhiVishwanath RangdholDavid LivingstoneSublingual hematoma secondary to anticoagulation is a rare fatal condition. Hemorrhagic complications of warfarin are well-known. This particular case is unique because the patient was on warfarin for the past 2 years but did not develop the sublingual hematoma. However, a trauma by an attrited sharp cusp triggered the episode of the sublingual hematoma in this patient. Being a medical emergency, patient was promptly hospitalized in cardiac care unit and managed by medical team. The patient was transfused with 2 units of fresh frozen plasma and warfarin was temporarily stopped for 4 days. Alternate day regimen of warfarin was started after 4 days, and international normalized ratio dropped to 3. In dental management, enameloplasty of the mandibular first molar tooth was done to prevent trauma and ulcer development in the floor of the mouth. The hematoma resolved, and no new hematoma formation was observed for a period of 6 months.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2015;volume=6;issue=1;spage=137;epage=138;aulast=BaliahEnameloplastyinternational normalized ratiosublingual hematoma |
| spellingShingle | John Baliah Kayalvizhi Vishwanath Rangdhol David Livingstone Sharp tooth induced sublingual hematoma in a patient with elevated international normalized ratio Contemporary Clinical Dentistry Enameloplasty international normalized ratio sublingual hematoma |
| title | Sharp tooth induced sublingual hematoma in a patient with elevated international normalized ratio |
| title_full | Sharp tooth induced sublingual hematoma in a patient with elevated international normalized ratio |
| title_fullStr | Sharp tooth induced sublingual hematoma in a patient with elevated international normalized ratio |
| title_full_unstemmed | Sharp tooth induced sublingual hematoma in a patient with elevated international normalized ratio |
| title_short | Sharp tooth induced sublingual hematoma in a patient with elevated international normalized ratio |
| title_sort | sharp tooth induced sublingual hematoma in a patient with elevated international normalized ratio |
| topic | Enameloplasty international normalized ratio sublingual hematoma |
| url | http://www.contempclindent.org/article.asp?issn=0976-237X;year=2015;volume=6;issue=1;spage=137;epage=138;aulast=Baliah |
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