The treatment in the case of gingival overgrowths is frequently based on drug replacement, associated with the accurate control of bacterial plaque. When this treatment option fails, the surgical intervention of excessive tissue removal offers a satisfactory result on short term. Besides, before an eventual transplant the removal of any cause for infection is necessary, so that subsequently under the effect of immune suppressors, the immunity of the patient and resistance to infections are markedly reduced. A problem may that the infection increase the bleeding time and maked the haemorrhage difficult to control. We present the case of a patient of 39 years old, which addressed to the department of Periodontology for evaluation and treatment of gingival maxillar and mandibular overgrowths. She received haemodialysis three times a week from 20 months, due to a chronic renal insufficiency, secondary to a rapidly progressive glomerulonephritis and she had to receive a renal transplant from her sister after three months. The patient presented an advanced periodontal disease, with mobility and periodontal pockets of 4-9 mm. For intervention, the general anaesthesia was realized and 18 teeth were extracted and at 6 teeth a Widman flap was realized and it was followed by a severe haemorrhage, which needed blood transfusions. This study suggests that the patients with renal insufficiency who will undergo periodontal surgical treatment should be carefully evaluated before surgery, and the bleeding and coagulation times should be evaluated.
Keywords:- GINGIVAL OVERGROWTHS
- RISK OF HAEMORRHAGE