Hi Mark,I was searching some info about gel foam and ran across your "just answer" site. My name is XXXXX XXXXX dds. I did extracted # XXXXX RTR bonegraft on a 55yrs old male pt on Tuesday. He came for a follow up showing a large blood clot around # XXXXX some bright red oozing under neath; I packed the gel foam; checked back in an hour later; bleeding stopped; left the gel foam inthere and will see him back 2morrow. Q 1. should i remove the gel foam to allow the normal healing to the graft and the membrane (resorbalbe type) ?2. If pt still develops bleeding, should I remove the entire membrane/ bone graft ( it was packed gentle though)3. should I ask pt to stop taking Aspririn 81mg ( he been on it for 2 yrs w/ HBP meds )I've been practicing 7 yrs since graduated; first time seeing this happen 2days after; really appreciated your opinion. thx ann.
Thanks for using JustAnswer. Hey Ann, Dr. Cliff here. I use Gel Foam routinely in my practice. Once you put that stuff in the socket, just leave it in. Don't take it out. If you do, it would be like starting over again with this. I always suture over it with a figure 8 stitch. If he quit bleeding after an hour, sounds like he will clot up shortly. Using pressure with gauze over the Gel Foam should get this to stop. Don't remove it, it will resorb and normal healing will begin. This great stuff to use, it should do the trick. I would also not remove the graft. If it still continues to bleed you can pack more Gel foam in the socket and try again. Best of Luck! Dr. Cliff
12 years experience private practice, Member American Orthodontist Society, Mini Implant Certified
Hi dr.Cliff,Pt came for follow up the next morning, he did great & happier ! I was looking for if the gel foam swell up it might blanch the gingival tissue therefore I might need to remove some.....but it looked just nice & clean; the bone graft intact under the membrane and sutures on top still secure in place...It was probably due to his taking 81mg aspirin but It will be even riskier if he would stop taking it w/out his md consent.... Well dr cliff, it's such a great pleasure to be mentored by an expert , thx again, Ann.