Glanzmann's disease; gingival bleeding despite good OH

Gingival bleeding is most commonly due to plaque-related gingivitis. Haemostasis depends upon three phases – a 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) defects – related 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.