Key result
Continuing antithrombotic therapy during invasive dental procedures is safe with local hemostatic measures.
Why the study?
Antithrombotic medication poses a challenge for dental practitioners due to possible hemorrhage complications associated with morbidity and mortality risk.
Do invasive dental procedures increase the incidence of hemorrhage in patients on antithrombotic therapy?
Systematic Review
Do invasive dental procedures increase the incidence of hemorrhage in patients on antithrombotic therapy?
Patients on antithrombotic therapy can safely undergo invasive dental procedures without altering their medication regimen, provided local hemostatic measures are used.
Answers are grounded in this paper and cite their sources.
Supports uninterrupted antithrombotic therapy for dental procedures; strengthens guideline recommendations with Level 1 synthesis.
Aim Antithrombotic medication represents a challenge for any dental practitioner due to the possible hemorrhage complications that can be associated with an important morbidity/mortality risk. The objective of the present literature review is to establish which dental procedures have a risk to increase the incidence of hemorrhage in patients on antithrombotic therapy. Materials and methods A systematic review of the literature was conducted using MEDLINE, PubMed, and DiscoverEd databases. The inclusion criteria used were as follows: Current antithrombotic therapy, invasive dental procedures, and postoperative incidence of bleeding follow-up. Results A total of 14 clinical studies and 5 literature reviews were selected after the initial screening. The incidence of hemorrhage was assessed for dental implant placements, dental extractions, simple dental procedures, and periodontal treatment. Conclusion A well-coagulated patient can safely have invasive dental procedures in a hospital environment or nonhospital setting without having their antithrombotic therapy altered. Local hemostatic measures can offer a proper hemorrhage control. How to cite this article Pirlog CD, Pirlog AM, Maghiar T. A Systematic Review of the Hemorrhage Risk for Patients on Antithrombotic Medication after Dental Procedures. World J Dent 2018;9(1):59-67.
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Pirlog et al. (2018) conducted a systematic review in Patients on antithrombotic medication undergoing dental procedures. Invasive dental procedures was evaluated on Incidence of hemorrhage. Invasive dental procedures can be safely performed in well-coagulated patients on antithrombotic therapy without altering their medication, using local hemostatic measures for hemorrhage control.
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