Key result
Multidisciplinary care with fibrin sealant controls severe enoxaparin-related bleeding after dental surgery.
Why the study?
Postoperative bleeding is an uncommon but serious complication of oral surgery in patients on anticoagulant therapy, requiring individualized treatment and early intervention.
Case Report (n=1)
No
This case highlights the critical importance of individualized preoperative assessment, including weight and renal function adjustments for anticoagulants, to prevent severe hemorrhagic complications during invasive dental procedures.
Alerts to bleeding risk with unadjusted enoxaparin in elderly dental implant patients; single case leaves optimal management strategies open.
Even though dental surgery is an effective method of oral rehabilitation, it is imperative to individualize treatment planning and, especially in patients under anticoagulant therapy, to initiate early intervention in the prevention and management of hemorrhagic complications. An 80-year-old Caucasian female patient presented to the emergency department with severe oral bleeding following maxillary dental extractions and immediate implant placement. The patient was on anticoagulation therapy due to pre-existing medical conditions and had been switched to enoxaparin. However, the patient's weight and renal glomerular filtration rate were not taken into account, thus precipitating the event. Postoperative bleeding, although uncommon, can be a serious complication of oral surgery in patients on anticoagulant therapy. The risk of such complications is influenced by several factors, particularly the type and dosage of anticoagulant used, the patient's overall health, and the extent of surgical trauma. This case highlights the critical role of a multidisciplinary approach in the management of patients on anticoagulation therapy who require invasive treatments.
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Abreu et al. (2025) conducted a case report in Severe postoperative hemorrhage following dental implant surgery (n=1). Dental extraction and immediate implant placement with enoxaparin therapy was evaluated on Hemorrhage control and wound healing. Severe postoperative hemorrhage following dental implant surgery in an 80-year-old patient on improperly adjusted enoxaparin was successfully managed with a multidisciplinary approach including fibrin sealant.
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