OBJECTIVE: Dental osteotomy, the removal of an impacted, ankylosed, or severely destroyed tooth requiring an osteotomy, is more invasive than other minor dental procedures and therefore also has a higher bleeding risk. A considerable number of patients under antiplatelet therapy interrupt their therapy perioperatively, which, however, increases the risk of thromboembolism. STUDY DESIGN: This retrospective study assessed postoperative bleeding incidence for a total of 297 dental osteotomies with continued aspirin therapy, compared with that of 179 similar procedures on patients who were not on any anticoagulation or anti-platelet therapy. All procedures were carried out on an outpatient basis. RESULTS: Postoperative bleeding event was rare in both groups, 5 (1.7%) and 2 (1.1%), respectively, and the difference was not significant (P = .7). CONCLUSIONS: Continued aspirin therapy in patients undergoing dental osteotomies has no effect on the incidence of postoperative bleeding and should not be interrupted.
OBJECTIVE: Dental osteotomy, the removal of an impacted, ankylosed, or severely destroyed tooth requiring an osteotomy, is more invasive than other minor dental procedures and therefore also has a higher bleeding risk. A considerable number of patients under antiplatelet therapy interrupt their therapy perioperatively, which, however, increases the risk of thromboembolism. STUDY DESIGN: This retrospective study assessed postoperative bleeding incidence for a total of 297 dental osteotomies with continued aspirin therapy, compared with that of 179 similar procedures on patients who were not on any anticoagulation or anti-platelet therapy. All procedures were carried out on an outpatient basis. RESULTS:Postoperative bleeding event was rare in both groups, 5 (1.7%) and 2 (1.1%), respectively, and the difference was not significant (P = .7). CONCLUSIONS: Continued aspirin therapy in patients undergoing dental osteotomies has no effect on the incidence of postoperative bleeding and should not be interrupted.
Authors: Henning Hanken; Alexander Gröbe; Max Heiland; Ralf Smeets; Lan Kluwe; Johannes Wikner; Robert Koehnke; Ahmed Al-Dam; Wolfgang Eichhorn Journal: Clin Oral Investig Date: 2015-10-26 Impact factor: 3.573
Authors: Blake S Raggio; Blair M Barton; Emad Kandil; Paul L Friedlander Journal: JAMA Otolaryngol Head Neck Surg Date: 2018-04-01 Impact factor: 6.223
Authors: Alexander Gröbe; Meike Fraederich; Ralf Smeets; Max Heiland; Lan Kluwe; Jürgen Zeuch; Martina Haase; Johannes Wikner; Henning Hanken; Jan Semmusch; Ahmed Al-Dam; Wolfgang Eichhorn Journal: Biomed Res Int Date: 2015-01-06 Impact factor: 3.411