PMC5467272_01
Initial frontal view.
CRID2017-7429738.001.jpg
PMC5467272_01_CRID2017-7429738.001.jpg
fig1
On the oral examination, both incisors were palpable and covered with a fibrous gingival tissue, not associated with previous bleeding (Figure 1).
Surgical procedure stages.
CRID2017-7429738.002.jpg
PMC5467272_01_CRID2017-7429738.002.jpg
fig2
Technology, Inc., Irving, CA, USA) and sutures in both sides of the flap (Figure 2). The patient was discharged without apparent local or systemic complications and with postoperative hygiene/diet instructions.
3-day postoperative view. The right suture was removed. The wound was resutured.
CRID2017-7429738.003.jpg
PMC5467272_01_CRID2017-7429738.003.jpg
fig3
Three days later the patient returned to the clinic exhibiting gingival profuse bleeding, difficult to control with external pressure application by means of wet gauze (Figure 3).
2 days later. The new suture was also retired and then resutured. Pharmacological treatment was initiated intravenously.
CRID2017-7429738.004.jpg
PMC5467272_01_CRID2017-7429738.004.jpg
fig4
After 2 days, the bleeding persisted (Figure 4) and the child looked pale and weak.
Final view after 8 hours of treatment. Bleeding was finally controlled.
CRID2017-7429738.005.jpg
PMC5467272_01_CRID2017-7429738.005.jpg
fig5
At the final examination, 10 days after the event, the child did not show additional unusual bleeding episodes (Figure 5) or any other oral/systemic complications.