Postoperative Excessive Bleeding following Stainless-Steel Crown Placement in Healthy Children with a Suggested Approach for Prevention
Stainless-Steel Crown (SSC) placement is a common treatment in children, usually without significant adverse consequences. The present case series reports six healthy children were admitted to emergency rooms in two medical centers with delayed excessive bleeding from their gingiva, adjacent to newl...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2023/6805636 |
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| author | Liat Oren Shoshana Spierer Silvina Friedlander Barenbaum Noam Yarom Dan Ben Amitai Malka Ashkenazi |
| author_facet | Liat Oren Shoshana Spierer Silvina Friedlander Barenbaum Noam Yarom Dan Ben Amitai Malka Ashkenazi |
| author_sort | Liat Oren |
| collection | DOAJ |
| description | Stainless-Steel Crown (SSC) placement is a common treatment in children, usually without significant adverse consequences. The present case series reports six healthy children were admitted to emergency rooms in two medical centers with delayed excessive bleeding from their gingiva, adjacent to newly placed SSCs. The bleeding, in some cases, was so extensive, that it induced vomiting and anxiety, among the children and their parents, and in two cases required surgical suturing. In all six cases, the most probable etiology was a toxic reaction to the released nickel or chromium ions from the SSCs, exacerbated by contact with wounded and bleeding gingiva. Expression of this cytotoxic mode of action, due to metal ions released from SSCs, is not well documented in children. Our aims are to raise awareness of this unique complication and to suggest an approach to minimize and prevent its occurrence. Recommended immediate treatment includes frequent rinsing of the gingiva to wash out released metal ions and decrease their toxic effect. Furthermore, in the following appointments, we recommend using only SSCs previously soaked in water for several weeks, using zirconia crowns, or using Hall’s technique when appropriate. |
| format | Article |
| id | doaj-art-e182e7fff9814aa2bda405d84aaeea01 |
| institution | OA Journals |
| issn | 2090-6455 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-e182e7fff9814aa2bda405d84aaeea012025-08-20T02:21:38ZengWileyCase Reports in Dentistry2090-64552023-01-01202310.1155/2023/6805636Postoperative Excessive Bleeding following Stainless-Steel Crown Placement in Healthy Children with a Suggested Approach for PreventionLiat Oren0Shoshana Spierer1Silvina Friedlander Barenbaum2Noam Yarom3Dan Ben Amitai4Malka Ashkenazi5Sheba Medical CenterSheba Medical CenterSheba Medical CenterSheba Medical CenterPediatric Dermatology Unit Schneider Children Medical CenterSheba Medical CenterStainless-Steel Crown (SSC) placement is a common treatment in children, usually without significant adverse consequences. The present case series reports six healthy children were admitted to emergency rooms in two medical centers with delayed excessive bleeding from their gingiva, adjacent to newly placed SSCs. The bleeding, in some cases, was so extensive, that it induced vomiting and anxiety, among the children and their parents, and in two cases required surgical suturing. In all six cases, the most probable etiology was a toxic reaction to the released nickel or chromium ions from the SSCs, exacerbated by contact with wounded and bleeding gingiva. Expression of this cytotoxic mode of action, due to metal ions released from SSCs, is not well documented in children. Our aims are to raise awareness of this unique complication and to suggest an approach to minimize and prevent its occurrence. Recommended immediate treatment includes frequent rinsing of the gingiva to wash out released metal ions and decrease their toxic effect. Furthermore, in the following appointments, we recommend using only SSCs previously soaked in water for several weeks, using zirconia crowns, or using Hall’s technique when appropriate.http://dx.doi.org/10.1155/2023/6805636 |
| spellingShingle | Liat Oren Shoshana Spierer Silvina Friedlander Barenbaum Noam Yarom Dan Ben Amitai Malka Ashkenazi Postoperative Excessive Bleeding following Stainless-Steel Crown Placement in Healthy Children with a Suggested Approach for Prevention Case Reports in Dentistry |
| title | Postoperative Excessive Bleeding following Stainless-Steel Crown Placement in Healthy Children with a Suggested Approach for Prevention |
| title_full | Postoperative Excessive Bleeding following Stainless-Steel Crown Placement in Healthy Children with a Suggested Approach for Prevention |
| title_fullStr | Postoperative Excessive Bleeding following Stainless-Steel Crown Placement in Healthy Children with a Suggested Approach for Prevention |
| title_full_unstemmed | Postoperative Excessive Bleeding following Stainless-Steel Crown Placement in Healthy Children with a Suggested Approach for Prevention |
| title_short | Postoperative Excessive Bleeding following Stainless-Steel Crown Placement in Healthy Children with a Suggested Approach for Prevention |
| title_sort | postoperative excessive bleeding following stainless steel crown placement in healthy children with a suggested approach for prevention |
| url | http://dx.doi.org/10.1155/2023/6805636 |
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