Literature DB >> 34603625

Update on the management of anticoagulated and antiaggregated patients in dental practice: Literature review.

Jesús Costa-Tort1, Verónica Schiavo-Di Flaviano2, Beatriz González-Navarro3, Enric Jané-Salas4, Albert Estrugo-Devesa4, José López-López5.   

Abstract

BACKGROUND: Oral antiplatelet and anticoagulant drugs are widely used in a large number of patients visiting the dentist, and there has been much controversy over the years towards their clinical management. The aim to carry out a literature review in order to develop an update on dental management in anticoagulated and / or anti aggregated patients, focusing on oral surgery.
MATERIAL AND METHODS: A bibliographic search was carried out in PubMed on studies published between January 1, 2018, until December 10, 2020, using the keywords ("antiplatelet" OR "antiplatelets") AND ("dentistry"), and ("anticoagulant" OR "anticoagulants") AND ("dentistry").
RESULTS: The number of studies included in this review was 13, and the number of patients among all of them was 3.497 patients under treatment with some type of antithrombotic drug, who underwent different oral surgery treatments.
CONCLUSIONS: There is a low risk of peri- and postoperative bleeding events during basic oral surgery treatments in antiplatelet or anticoagulated patients, which can be easily managed through the use of local haemostatic measures. Key words:Oral surgery, antiplatelet drugs, anticoagulant drugs, dental treatment. Copyright:
© 2021 Medicina Oral S.L.

Entities:  

Year:  2021        PMID: 34603625      PMCID: PMC8464381          DOI: 10.4317/jced.58586

Source DB:  PubMed          Journal:  J Clin Exp Dent        ISSN: 1989-5488


  21 in total

1.  Assessing an oral surgery specific protocol for patients on direct oral anticoagulants: a retrospective controlled cohort study.

Authors:  E Lababidi; O Breik; J Savage; H Engelbrecht; R Kumar; C W Crossley
Journal:  Int J Oral Maxillofac Surg       Date:  2018-04-10       Impact factor: 2.789

2.  Postoperative bleeding associated with antiplatelet and anticoagulant drugs: A retrospective study.

Authors:  Ryan T Rubino; Dolph R Dawson; Richard J Kryscio; Mohanad Al-Sabbagh; Craig S Miller
Journal:  Oral Surg Oral Med Oral Pathol Oral Radiol       Date:  2019-04-16

3.  Does low-dose aspirin therapy complicate oral surgical procedures?

Authors:  L Ardekian; R Gaspar; M Peled; B Brener; D Laufer
Journal:  J Am Dent Assoc       Date:  2000-03       Impact factor: 3.634

4.  Oral surgery in patients under antithrombotic therapy: perioperative bleeding as a significant risk factor for postoperative hemorrhage.

Authors:  Amanda L Rocha; Alessandra F Souza; Maria A P Martins; Marina G Fraga; Denise V Travassos; Ana C B Oliveira; Daniel D Ribeiro; Tarcília A Silva
Journal:  Blood Coagul Fibrinolysis       Date:  2018-01       Impact factor: 1.276

5.  Direct oral anticoagulants: A retrospective study of bleeding, behavior, and documentation.

Authors:  S G Miller; C S Miller
Journal:  Oral Dis       Date:  2018-03       Impact factor: 3.511

Review 6.  Treatment of the Dental Patient with Bleeding Dyscrasias: Etiologies and Management Options for Surgical Success in Practice.

Authors:  Leslie R Halpern; David R Adams; Earl Clarkson
Journal:  Dent Clin North Am       Date:  2020-01-31

7.  Direct Oral Anticoagulants and Medical Comorbidities in Patients Needing Dental Extractions: Management of the Risk of Bleeding.

Authors:  Nadia Cocero; Michele Basso; Simona Grosso; Stefano Carossa
Journal:  J Oral Maxillofac Surg       Date:  2018-09-26       Impact factor: 1.895

8.  Bleeding related to dental treatment in patients taking novel oral anticoagulants (NOACs): a retrospective study.

Authors:  Eun-Jung Kwak; Sangook Nam; Kyeong-Mee Park; Seo-Yul Kim; Jisun Huh; Wonse Park
Journal:  Clin Oral Investig       Date:  2018-04-25       Impact factor: 3.573

9.  Characteristics, treatment and outcome of bleeding after tooth extraction in patients on DOAC and phenprocoumon compared to non-anticoagulated patients-a retrospective study of emergency department consultations.

Authors:  Martin Müller; Fabian Schlittler; Benoit Schaller; Michael Nagler; Aristomenis K Exadaktylos; Thomas C Sauter
Journal:  Clin Oral Investig       Date:  2018-10-05       Impact factor: 3.573

Review 10.  Oral surgery in patients on anticoagulant therapy.

Authors:  Crispian Scully; Andy Wolff
Journal:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod       Date:  2002-07
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