What to do in case of bleeding?

There are risks associated with each surgical procedure and complications can occur. The mouth is a well-circulated area through which a bleeding can occur.

At the time of a bleeding, it must first be checked whether there is a possible clotting disorder or a deficiency of vitamin K use.

If this is not the case, the depth and size of the wound image must be assessed. This can only be assessed by the practitioner. The extent of the bleeding cannot be measured objectively. An attempt must first be made to stop the bleeding by compression or (sterile) gauze. If these are not available, a cloth can also be used. It is important to keep the compression continuous for about 10-15 minutes. Should then the gauze or cloth continue to turn red, the wound image must be reassessed. Depending on the degree of bleeding, you can once again choose compression or suture the wound.

In babies and children, the advice is not to suture, but to apply compression to the wound until bleeding stops. This is because surface anaesthesia was used and the restriction of movement when sutures are placed in the mouth area. If it is necessary to suture, it is important to choose soluble sutures. Sutures should not be placed “too tight” or with too much tension on the wound. This is not desirable in connection with possible restriction of movement.

Follow-up by a paediatrician with babies or children is desirable. This is to measure any other body functions. Adults are also advised to consult a doctor if desired.

Follow-up of the wound must be performed by the practitioner.

For practitioners, the following steps are important if a complication occurs after or at the time of release:

Analyze what happened, when and what the consequences are for the patient.

Inform colleagues (directly involved) of the complication.

Consult with colleagues who may take over the treatment relationship (if patient wishes).