Glanzmann's disease; gingival bleeding despite good OH

Abstract

Gingival bleeding is most commonly due to plaque-related gingivitis. Haemostasis depends upon three phasesa vascular phase, a platelet phase and blood coagulation (clotting). Defects in any phase may lead to a bleeding tendency. Platelet defects are often quantitative (thrombocytopenia) and readily understood but there are also qualitative (thrombasthenia) defectsrelated to various platelet receptors. We report a rare case of gingival bleeding despite good oral health care the main complaint being that the patient was embarrassed by blood-stained lips interfering with social interaction. Clinical relevanceBleeding from the gingival margin can be a presenting sign of a systemic disorder.Oral Surgery 10 (2017) e77--e79.