[Tooth extraction and anticoagulants].

Abstract

INTRODUCTION:

The purpose of this study was to show the possibility of extracting teeth without modifying the anticoagulant treatment (anti-platelet and anti-vitamin K agents).

MATERIAL AND METHOD:

Two hundred patients underwent dental extraction from May 2003 to July 2006 without modifying their anticoagulant treatment; only 137 of them were hospitalized. Most of the teeth were extracted under local anesthesia, and hemostatic pad were inserted in the sockets without suture.

RESULTS:

One thousand (and) sixteen extractions were performed with bleeding disorders in 4%, successfully resolved by using local hemostatics.

DISCUSSION:

Modifying an anticoagulant treatment is a thrombo-embolic complication risk factor. Performing tooth extraction according to our protocol decreases this risk and bleeding complications, thus proving the validity of our technique.

• Authors: S Persac, F-X Boland, J-F Lavis, A Tardif
• Journal: Revue de stomatologie et de chirurgie maxillo-faciale (Rev Stomatol Chir Maxillofac) Vol. 108 Issue 3 Pg. 189-92 (Jun 2007) ISSN: 0035-1768 [Print] France
• Vernacular Title: Avulsions dentaires et anticoagulants.
• PMID: 17445849 (Publication Type: English Abstract, Journal Article)

Chemical References

• 4-Hydroxycoumarins
• Anticoagulants
• Hemostatics
• Indenes
• Platelet Aggregation Inhibitors
• antivitamins K
• Vitamin K

Topics

• 4-Hydroxycoumarins (therapeutic use)
• Adult
• Aged
• Aged, 80 and over
• Anesthesia, Dental (methods)
• Anesthesia, General
• Anticoagulants (therapeutic use)
• Dental Care for Chronically Ill
• Female
• Hemostatics (therapeutic use)
• Hospitalization
• Humans
• Indenes (therapeutic use)
• Male
• Middle Aged
• Oral Hemorrhage (prevention & control)
• Platelet Aggregation Inhibitors (therapeutic use)
• Postoperative Hemorrhage (prevention & control)
• Retrospective Studies
• Tooth Extraction (methods)
• Vitamin K (antagonists & inhibitors, therapeutic use)