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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

Publication:
September 2010
Volume 41 , Issue 8

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Bismuth Subgallate As A Topical Hemostatic Agent At Palatal Donor Sites

Sung Hyun Kim, DDS, MSc, PhD/Vinicius Augusto Tramontina, DDS, MSc, PhD/Vula Papalexiou, DDS, MSc, PhD/Sônia Mara Luczyszyn, DDS, MSc, PhD

Pages: 645–649
PMID: 20657853

Objective: To present bismuth subgallate as a simplified and efficient method for promoting hemostasis at palatal donor sites, as evaluated by measuring hemostasis time and delayed bleeding. Method and Materials: Ten patients received the bismuth subgallate paste as a topical hemostatic agent, while another 10 patients received moistened gauze pressure. The time to obtain complete hemostasis, defined as no visual bleeding, was recorded for each subject. Results: Bismuth subgallate paste was found to decrease hemostasis time, when compared with moistened gauze pressure. The mean hemostasis time for the bismuth subgallate group was significantly shorter (2.6 ± 0.7 minutes) when compared to the moistened gauze group (7.2 ± 1.4 minutes). While delayed bleeding was observed in the moistened gauze group, no statistically significant difference was found between the groups (P = .10). Conclusion: The use of bismuth subgallate as a topical hemostatic for palatal wounds may be an option when performing free soft tissue grafts. (Quintessence Int 2010;41:645–649)

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