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Oral Surgery · single question

A patient has moderate oozing after a tooth extraction and gauze pressure is not helping. What is the MOST appropriate next step?

  1. Suture the socket immediately over the phone instructions
  2. Administer IV vitamin K
  3. Have the patient come back to the office for evaluation and additional management
  4. Place a surgical stent
Show answer and explanation

Correct answer: C. Have the patient come back to the office for evaluation and additional management

  • A. Incorrect. Suturing requires in-office assessment first.
  • B. Incorrect. IV vitamin K is for warfarin reversal in a hospital setting — not first-line office management of post-extraction oozing.
  • C. Correct. If moderate oozing persists despite home gauze pressure, the patient should COME IN to the office for evaluation. The dentist can then assess the socket, apply additional local hemostatic measures (suturing, gelatin sponge, tranexamic acid rinse, bone wax) as needed.
  • D. Incorrect. A surgical stent is not a first-line measure for simple post-extraction bleeding.

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