Dental hemostats are products in the beauty instrument category designed to control and stop bleeding during dental procedures, promoting quick and effective recovery. Hemostasis is a crucial process in dentistry that ensures patient health and comfort.
Our selection of dental hemostat includes sponges and powdered agents designed to facilitate primary and secondary hemostasis in various clinical settings. These products are formulated to provide fast and effective action, allowing dental professionals to carry out their procedures confidently and precisely.
Dental hemostats are essential in surgical situations, and they are beauty instruments where bleeding control is crucial to the procedure’s success. Whether you need a single-use hemostatic sponge or a powdered agent for surgical hemostasis, our range of products is designed to meet the needs of the most demanding dental professionals.
Hemostasis in Dentistry: the most efficient solutions in the dental clinic
Some dental procedures can cause bleeding that is difficult to control, and as a dentist, we know that you should always be prepared to face the situation. In this article, we want to make a brief but practical reminder about the hemostatic agents that are most commonly used in the dental clinic and which are the latest-generation products that you should know to effectively and quickly stop bleeding in different dental procedures. Are you ready? Come on!
Hemostasis and hemorrhage
What do you think if we review the concepts?
Hemostasis
Hemostasis is the physiological process that maintains liquid blood within the blood vessels and, if they are injured, induces the formation of a hemostatic plug to stop extravasation. It sounds very simple, but it is a complex process that involves three main components: the vascular wall (endothelium), platelets, and the coagulation cascade.
We can divide the hemostasis process into:
- Primary hemostasis occurs after the initial injury and begins with vasoconstriction regulated by endothelin, a vasoconstrictor derived from the endothelium, and neurogenic reflex mechanisms. Simultaneously, the extracellular matrix (ECM) is exposed to facilitate platelet adhesion to the endothelium and form a hemostatic plug through platelet aggregation.
- Secondary hemostasis or coagulation: The coagulation cascade is activated by the interaction of fibrinogen and the products secreted by platelets. Then thrombin is activated, which converts soluble fibrinogen into insoluble fibrin capable of interlocking to build a stable secondary clot.
Hemorrhage
We can define hemorrhage as the extravasation of blood due to the rupture of a blood vessel. Trauma, atherosclerosis, or inflammatory or neoplastic erosions may cause a blood vessel to rupture. Many parameters classify hemorrhages, including location, affected vessel, etiology, size and extension, and volume of extravasation.
Hemostasis with dental hemostat in the dental clinic
Mild oral bleeding is an ordinary circumstance in the dental center; however, we have to bleed when the intensity and duration increase spontaneously. Stopping this blood loss is critical to ensuring patient safety and continuing the procedure.
Controlling bleeding in the dental clinic is a challenge because uncontrolled bleeding can cause a medical emergency. To start on the right foot, it is essential to take a good history of the patient, taking into account his personal and family history, which makes us suspect a hemostasis disorder. We must also consider the systemic processes that may indicate any alteration in its mechanism and use dental hemostats. It is crucial to carefully evaluate patients with a history of hemopathies, chronic liver diseases, or thrombocytopenia.
Regarding the dental hemostat materials that can be used in oral surgery to control bleeding, we highlight the following:
Aluminum chloride, ferric sulfate, and tannic acid are astringent-styptic. They act by precipitating proteins and creating a mechanical obstruction to bleeding.
Absorbable gelatins: they can be presented in the form of powder, sheets, or sponges. They facilitate platelet aggregation, stabilize the clot, and are entirely absorbed quickly, so it is unnecessary to open the wound again.
Collagen sponges: absorbable collagen is positioned over the area of mild or moderate bleeding and is compressed for about 2 to 5 minutes. Its mechanism of action consists of trapping platelets in its structure, promoting adhesion.
Collagen sponges are perfect for this purpose since they also have a porous structure that facilitates better fluid absorption. They can assimilate up to 35 times their weight and are completely absorbable by the body in 15 days.
Control of hemostasis in adhesive aesthetic dentistry
Suppose your area of specialization is adhesive dentistry. In that case, you will know that managing gingival tissues and hemostasis and controlling crevicular fluid is key to achieving restorations free of micro leaks and progressive discolorations.
In adhesive dentistry, dental hemostats fulfill these three functions:
- Control of hemostasis by local plugging of injured epithelial capillaries.
- Control of gingival crevicular fluid thanks to decreased capillary permeability at the level of epithelial adhesion and sulcular epithelium.
- Gingival retraction decreases the elasticity of the collagen fibers of the gingival connective tissue.
Hemostatic solutions significantly improve the quality of adhesion, preserving the integrity and longevity of the restorations. Epinephrine is the most used dental hemostat; however, due to its local and cardiovascular adverse effects, many dentists are more inclined to use solutions such as ferric sulfate or aluminum chloride.
At Bianco, we have many dental hemostats available, so you can choose the most appropriate one for each situation. Remember that if you have questions, just contact us, and we will be happy to help.
