Naslov
Dental Procedures in Patients Receiving Oral Anticoagulant Therapy

Autori
Gaćina, Petar ; Čaržavec, Dubravka ; Stančić, Vladimir ; Pejša, Vlatko

Izvornik
Acta clinica Croatica (0353-9466) 45 (2006), 2; 101-104

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
Anticoagulants - therapeutic use ; Oral surgical procedures -adverse effects ; Blood loss, surgical - prevention and control ; ...

Sažetak
There is a widespread belief among physicians and dentists that oral anticoagulant therapy must be discontinued before and for some time after dental procedures. This practice may increase the risk of potentially life- threatening thromboembolism. The present literature does not support routine discontinuation of anticoagulant therapy for dental patients. There is a theoretical risk of bleeding after dental surgery in patients at therapeutic levels of anticoagulation, however, it is minimal and may be greatly outweighed by the risk of thromboembolism upon anticoagulant therapy withdrawal. Thus, dental extractions can be performed without modification of oral anticoagulant therapy. In most patients local hemostasis with gelatin sponge, fibrin glue, sutures and/or mouthwash with tranexamic acid or e­aminocaproic acid is sufficient to prevent postoperative bleeding.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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