AI Article Synopsis

  • No previous reports exist about hematomas developing in the floor of the mouth after periodontal surgery.
  • Three case reports highlight post-surgical hematomas that complicate diagnosis and management, with two resulting from extensive surgical procedures.
  • A change in post-surgical care for the third case suggests a potential method for preventing these hematomas, underscoring the importance of proper management protocols for such incidents.

Article Abstract

Background: There are no published case reports that hematomas occur on the floor of the mouth as a result of periodontal surgery.

Report: These three case reports document post surgical hematoma formation on the floor of the mouth that pose problems with the diagnosis, prognosis, and patient management. All cases involved periodontal surgery where extensive reduction of tori and bony exostoses were required. Two cases resulted in hematomas in the floor of the mouth. However, a change in the post surgical management for a third case demonstrated possible prevention of hematoma formation.

Summary: Hematomas in the floor of the mouth can be a resolving post surgical phenomenon or a serious vascular insult to this region of the oral cavity. This report clarifies the diagnosis, prognosis, and the best management protocol through the presentation of three cases.

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