Dentoalveolar surgeryBleeding Evaluation During Single Tooth Extraction in Patients With Coronary Artery Disease and Acetylsalicylic Acid Therapy Suspension: A Prospective, Double-Blinded, and Randomized Study
Section snippets
Patients
Eighty-three patients with CAD who were undergoing ASA therapy were selected between February 2007 and April 2009 at a tertiary cardiology hospital. The inclusion criteria for this study included an indication of the need for at least 1 molar extraction (superior or inferior) and the presence of CAD that was being treated with an ASA therapy of 100 mg/d. Patients were excluded if they were receiving anticoagulation treatment or undergoing any other type of antiplatelet therapy; had blood
Results
Eighty-three coronary patients were initially evaluated, and 20 of these patients were excluded from the investigation for a variety of factors, including the presence of an impacted third molar (4 patients), dental abscess (2 patients), absence of a blood test (9 patients), laboratory technical errors (9 patients), thrombocytopenia (1 patient), and an accident with the aspiration pump during the intraoperative procedure (2 patients).
Sixty-three patients (22 females and 41 males) attended the
Discussion
In this study, CVD patients undergoing ASA therapy who had an indication for molar extraction were randomly placed into 2 groups: 1 with the suspension of ASA therapy for a period of 7 days before the start of the procedure and 1 with no change in ASA therapy.
There was no significant difference in the amount of bleeding that occurred during tooth extraction between the 2 groups (groups S and NS).
Currently, the use of ASA therapy is considered a risk factor for hemorrhagic complications during
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Perioperative Optimization and Management of the Oral and Maxillofacial Surgical Patient: A Narrative Review on Updates in Anticoagulation, Hypertension and Diabetes Medications
2024, Journal of Oral and Maxillofacial SurgeryThe role of hemostatic agents after tooth extractions: A systematic review and meta-analysis
2023, Journal of the American Dental AssociationIntra-alveolar epsilon-aminocaproic acid for the control of post-extraction bleeding in anticoagulated patients: randomized clinical trial
2018, International Journal of Oral and Maxillofacial SurgeryCitation Excerpt :The five episodes of severe bleeding are described in detail in Table 6. Currently, several authors advocate maintaining anticoagulant therapy in patients undergoing simple tooth extraction1,2,9,17,25–31. In the present study, there was only one (0.7%) immediate bleeding episode and 23 (16.4%) late bleeding episodes.
Incidence and treatment of complications in patients who had third molars or other teeth extracted
2018, British Journal of Oral and Maxillofacial SurgeryQuantification of bleeding during dental extraction in patients on dual antiplatelet therapy
2017, International Journal of Oral and Maxillofacial SurgeryCitation Excerpt :Dental interventions resulting in bleeding in patients on medications that change haemostasis have been the subject of multiple studies and publications, reflecting the fear dental practitioners feel in managing this group of patients35–37. Different clinical research studies have shown that the use of ASA does not constitute a risk for uncontrollable bleeding during invasive dental procedures12,17,34. However, single therapy has since been replaced by dual therapy (ASA + clopidogrel), elevating the risk of bleeding.