Key result
Continuing aspirin therapy during simple tooth extraction is recommended over discontinuation, as bleeding complications are rare and manageable with local hemostasis.
Why the study?
Does continuing aspirin therapy during simple tooth extraction prevent thromboembolic events without causing excessive bleeding in cardiac patients?
Does continuing aspirin therapy during simple tooth extraction prevent thromboembolic events without causing excessive bleeding in cardiac patients?
Continuing aspirin therapy during simple tooth extractions in cardiac patients is safe and prevents adverse thromboembolic events associated with its discontinuation.
May support continuing aspirin for dental extractions in cardiac patients; leaves open need for randomized confirmation.
Cardiac patients on aspirin therapy may require extractions for their diseased teeth. It is a common practice among physicians and treating surgeons to stop aspirin prior to tooth extraction because of fear of bleeding complications. This practice often predisposes the patient to adverse thromboembolic events. This practice is based on theoretical risk of bleeding and on isolated case reports of excessive bleeding with aspirin therapy. The current consensus and recommendations are in favor of continuing aspirin therapy during simple tooth extraction as the bleeding complication incidence is very less and if it occurs can be controlled efficiently with local hemostasis measures.
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Gaurav Verma (2014) conducted a review in Cardiac patients on aspirin therapy requiring tooth extraction. Continuing aspirin therapy vs. Stopping aspirin therapy was evaluated on Bleeding complications. Continuing aspirin therapy during simple tooth extraction is recommended over discontinuation, as bleeding complications are rare and manageable with local hemostasis.
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