Bismuth subgallate as a topical hemostatic agent at palatal donor sites.

Abstract

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.

• Authors: Sung Hyun Kim, Vinicius Augusto Tramontina, Vula Papalexiou, Sônia Mara Luczyszyn
• Journal: Quintessence international (Berlin, Germany : 1985) (Quintessence Int) Vol. 41 Issue 8 Pg. 645-649 (Sep 2010) ISSN: 1936-7163 [Electronic] Germany
• PMID: 20657853 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)

Chemical References

• Hemostatics
• Ointments
• Organometallic Compounds
• Gallic Acid
• bismuth subgallate

Topics

• Administration, Topical
• Adult
• Bleeding Time
• Female
• Gallic Acid (administration & dosage, analogs & derivatives, therapeutic use)
• Hemostatics (administration & dosage, therapeutic use)
• Humans
• Male
• Middle Aged
• Mouth Mucosa (transplantation)
• Ointments
• Organometallic Compounds (administration & dosage, therapeutic use)
• Palate, Hard (surgery)
• Postoperative Hemorrhage (prevention & control)
• Pressure
• Tissue and Organ Harvesting
• Young Adult