Int J Stomatol

Int J Stomatol ›› 2025, Vol. 52 ›› Issue (6): 730-737.doi: 10.7518/gjkq.2025068

• Cariology and Endodontics • Previous Articles     Next Articles

Management of bleeding in treatment of endodontics

Shuang Chen(),Shengyu Fu,Ling Ye,Chenglin Wang()   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2024-06-29 Revised:2025-04-12 Online:2025-11-01 Published:2025-10-23
  • Contact: Chenglin Wang E-mail:cs001019@163.com;wxonet@163.com
  • Supported by:
    Sichuan Natural Science Foundation Project(2024NSFSC0551);Exploration and Creation Project of West China Hospital of Stomatology, Sichuan University(LCYJ2019-18)

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Abstract:

The treatment of pulp diseases is generally associated with a low risk of bleeding, and the management of bleeding is often neglected by dentists. However, the impact of poor bleeding control on local treatment cannot be ignored. Bleeding is caused by systemic factors, such as coagulation dysfunction or anticoagulant intake, and local factors, such as inflammatory state of the gingival and periodontal tissues, damage to the pulp and periapical tissues, and iatroge-nic injury. Commonly used methods for hemostasis are systemic drug management, local drug hemostasis, pressure hemostasis, chemical hemostasis, and suturing hemostasis, etc. Proper management of bleeding to reduce its impact on the treatment of pulp diseases needs to be considered in clinical practice. This article provides a review of the management of va-rious bleeding situations during non-surgical and surgical treatments of pulp diseases, from the perspectives of the dangers, causes, prevention, and treatment of bleeding. Results provide a reference for the clinical treatment of pulp diseases.

Key words: pulp bleeding, periapical bleeding, hazards of bleeding, cause of bleeding, management of bleeding

CLC Number: 

  • R781.05

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