Local hemostatic measures are supported by a systematic review of 25 clinical trials to effectively manage the risk of bleeding in patients on anticoagulant therapy undergoing dental procedures.
Systematic Review
Does the use of local hemostatic measures prevent bleeding in patients on anticoagulant therapy undergoing dental procedures?
Local hemostatic measures are supported for managing bleeding risk in patients on anticoagulation therapy undergoing dental procedures, highlighting the need for interdisciplinary collaboration.
BACKGROUND: Anticoagulant drugs are a valuable tool for minimizing thrombotic risks in at-risk patients. The purpose of this study is to conduct a literature review highlighting the management of these drugs during daily clinical dental practice. MATERIALS AND METHODS: We limited our search to English-language papers published between 1 January 1989, and 7 March 2024, in PubMed, Scopus and Web of Science that were relevant to our topic. In the search approach, the Boolean keywords "anticoagulant AND dentistry" were used. RESULTS: Twenty-five clinical trials were included for final review from 623 articles obtained from the databases Web of Science (83), PubMed (382), and Scopus (158), eliminating duplicates and 79 off-topic items, resulting in 419 articles after removing 315 entries and confirming eligibility. Overall, these studies support the use of local hemostatic measures to manage the risk of bleeding in patients on anticoagulant therapy undergoing dental procedures and highlight the importance of greater education and collaboration among healthcare professionals. CONCLUSIONS: Research and clinical investigation have improved understanding and management of dental procedures in patients undergoing anticoagulant or antiplatelet therapy. Hemostatic agents, clinical protocols, risk factors, and continuous education are essential for navigating the complexities of anticoagulant therapy, ensuring optimal outcomes and enhancing patient well-being.
Inchingolo et al. (Fri,) conducted a systematic review in Patients receiving anticoagulation therapy undergoing dental procedures. Local hemostatic measures was evaluated on Management of bleeding risk. Local hemostatic measures are supported by a systematic review of 25 clinical trials to effectively manage the risk of bleeding in patients on anticoagulant therapy undergoing dental procedures.