Effectiveness of Hemcon Dental Dressing versus Conventional Method of Haemostasis in 40 Patients on Oral Antiplatelet Drugs
Journal Title: Sultan Qaboos University Medical Journal - Year 2012, Vol 12, Issue 3
Abstract
Objectives: Te purpose of the study was to evaluate the effectiveness of the HemCon Dental Dressing (HDD) in controlling post extraction bleeding and to ascertain its role in healing of extraction wounds, as compared to control. Methods: Te 40 participants in the study were all receiving oral antiplatelet therapy (OAT). A total of 80 extractions were conducted without altering the patients’ drug therapy. Te extraction sites were divided into 2 groups: one group received a HDD, and the control group where the conventional method of pressure pack with sterile gauze under biting pressure (followed by suturing if required) was used to achieve haemostasis. Results: All HemCon treated sites achieved haemostasis sooner (mean = 53 seconds) than the control sites (mean = 918 seconds) which was statistically signifcant (P <0.001). Postoperative pain in the HDD group (1.74) was also signifcantly lower than in the control group (5.26) (P <0.001). Approximately 72.5% of HDD-treated sites showed signifcantly better postoperative healing when compared to the control site (P <0.001). Conclusion: HDD proved to be an excellent haemostatic agent that signifcantly shortened the bleeding time following dental extraction in patients on OAT. Additionally, HDD offered signifcantly improved post-operative healing of the extraction socket and less postoperative pain.
Authors and Affiliations
Tejraj P. Kale| Department of Oral and Maxillofacial Surgery, KLE Vishwanath Katti Institute of Dental Sciences, Belgaum, Karnataka, India, Amit Kumar Singh| Department of Oral and Maxillofacial Surgery, KLE Vishwanath Katti Institute of Dental Sciences, Belgaum, Karnataka, India, S. M. Kotrashetti| Department of Oral and Maxillofacial Surgery, KLE Vishwanath Katti Institute of Dental Sciences, Belgaum, Karnataka, India, Abhishek Kapoor| Department of Oral and Maxillofacial Surgery, KLE Vishwanath Katti Institute of Dental Sciences, Belgaum, Karnataka, India
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