case_images: PMC5467272_01
case_images: Initial frontal view.
case_images: CRID2017-7429738.001.jpg
case_images: PMC5467272_01_CRID2017-7429738.001.jpg
case_images: fig1
case_images: On the oral examination, both incisors were palpable and covered with a fibrous gingival tissue, not associated with previous bleeding (Figure 1).
case_images: Surgical procedure stages.
case_images: CRID2017-7429738.002.jpg
case_images: PMC5467272_01_CRID2017-7429738.002.jpg
case_images: fig2
case_images: Technology, Inc., Irving, CA, USA) and sutures in both sides of the flap (Figure 2). The patient was discharged without apparent local or systemic complications and with postoperative hygiene/diet instructions.
case_images: 3-day postoperative view. The right suture was removed. The wound was resutured.
case_images: CRID2017-7429738.003.jpg
case_images: PMC5467272_01_CRID2017-7429738.003.jpg
case_images: fig3
case_images: Three days later the patient returned to the clinic exhibiting gingival profuse bleeding, difficult to control with external pressure application by means of wet gauze (Figure 3).
case_images: 2 days later. The new suture was also retired and then resutured. Pharmacological treatment was initiated intravenously.
case_images: CRID2017-7429738.004.jpg
case_images: PMC5467272_01_CRID2017-7429738.004.jpg
case_images: fig4
case_images: After 2 days, the bleeding persisted (Figure 4) and the child looked pale and weak.
case_images: Final view after 8 hours of treatment. Bleeding was finally controlled.
case_images: CRID2017-7429738.005.jpg
case_images: PMC5467272_01_CRID2017-7429738.005.jpg
case_images: fig5
case_images: At the final examination, 10 days after the event, the child did not show additional unusual bleeding episodes (Figure 5) or any other oral/systemic complications.