"Liver Clots" in Periodontology: A 10-Year Clinical Experience.

IF 2.9 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Oral diseases Pub Date : 2024-11-12 DOI:10.1111/odi.15190

Saravanan Sampoornam Pape Reddy, Delfin Lovelina Francis, Ruchi Harish, Kumara Raja, Sukhbir Singh Chopra

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引用次数: 0

Abstract

Objectives: "Liver clots" are an uncommon complication following periodontal surgery, characterized by their distinctive gelatinous consistency and color resembling 'liver' tissue. Despite anecdotal reports, there is a lack of comprehensive evidence in the literature regarding its incidence, etiopathogenesis and optimal management strategies. This study aimed to address this knowledge gap by retrospectively analyzing cases to provide insights into this unusual post-operative complication.

Materials and methods: In this retrospective descriptive study, data spanning a decade (June 2013-June 2024) were collected from various dental centres. The data included patient demographics, medical history, surgical procedures performed, occurrence of "liver clot" formation, management measures and treatment outcomes.

Results: The 10-year retrospective data revealed a 2.03% incidence of "liver clots" among various periodontal procedures. The highest occurrence was observed following dental extractions, followed by periodontal surgical procedures. The observations also indicated a higher frequency in systemically healthy individuals.

Conclusion: "Liver clot" formation is a rare, but specific complication after periodontal surgery. Minimally invasive management approaches are effective, highlighting the importance of vigilance and prompt intervention for optimal patient outcomes. Further research is warranted to elucidate the exact etiopathogenesis and to establish evidence-based management protocols for this unusual complication.

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牙周病学中的 "肝血块"：10 年临床经验

目的：肝血块 "是牙周手术后一种不常见的并发症，其特点是具有独特的胶状稠度，颜色类似 "肝脏 "组织。尽管有轶事报道，但有关其发病率、病因和最佳治疗策略的文献却缺乏全面的证据。本研究旨在通过回顾性分析病例，深入了解这一不寻常的术后并发症，从而填补这一知识空白：在这项回顾性描述性研究中，我们从不同的牙科中心收集了跨越十年（2013 年 6 月至 2024 年 6 月）的数据。数据包括患者的人口统计学特征、病史、所进行的手术、"肝血块 "的形成、处理措施和治疗结果：结果：10 年的回顾性数据显示，在各种牙周手术中，"肝血块 "的发生率为 2.03%。拔牙后的发生率最高，其次是牙周手术。观察结果还表明，全身健康的人出现 "肝血块 "的频率更高：结论："肝血块 "的形成是牙周手术后一种罕见但特殊的并发症。结论："肝血块 "的形成是牙周手术后的一种罕见但特殊的并发症，微创的处理方法是有效的，强调了提高警惕和及时干预对患者获得最佳治疗效果的重要性。我们有必要开展进一步的研究，以阐明确切的发病机制，并针对这种不寻常的并发症制定循证管理方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral diseases 医学-牙科与口腔外科

CiteScore

7.60

自引率

5.30%

发文量

325

审稿时长

4-8 weeks

期刊介绍： Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.