Why the study?
Does the continuation of aspirin therapy prevent thromboembolic events without significantly increasing bleeding risk in patients undergoing dental extraction?
Does the continuation of aspirin therapy prevent thromboembolic events without significantly increasing bleeding risk in patients undergoing dental extraction?
Dental extractions can be safely performed without discontinuing aspirin therapy, avoiding the significant risk of rebound thromboembolic events.
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Caution against stopping aspirin before dental procedures in cardiac patients; review leaves optimal management open pending higher-level evidence.
Aspirin is routinely used drug in patients with cardiac problems. When a patient on aspirin requires dental treatment that has the risk of bleeding, the physician or dental surgeon often advices the patient to stop aspirin for few days. This however can lead to thromboembolic events to recur that may cause myocardial infarction, stroke or even death. The decision to stop the medicine prior to dental extraction or oral surgical procedure is critical.
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Chouksey et al. (2015) studied this question.
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