Management of Patients Taking Oral Anticoagulant (Warfarin) or Antiplatelet (Aspirin, Clopidogrel) Therapy in Dental Clinic: Breaking the Myth
Journal Title: Indian Journal of Dental Education - Year 2018, Vol 11, Issue 2
Abstract
Background: It is common to note dental surgeons discontinue oral anticoagulants or antiplatelet drugs for the purpose of dental surgical procedures having the fear of excessive bleeding. Multiple review of literatures and studies have proven no risk of bleeding complications in such patients. Purpose of our study was to evaluate amount of bleeding in patients under oral anticoagulant or antiplatelet therapy when compared to healthy controls who are undergoing variety of oral surgical procedures. Materials and methods: Patients taking oral anticoagulant or antiplatelet drugs who’s INR (International Normalized Ratio) less than 3.0 are divided in two groups of less than 20 minutes procedures and less than 40 minutes procedures with healthy controls in same manner. Sterile weighed gauze packs of 20gms and 40gms were used respectively in these groups and weighed postoperatively for weight difference. Results: No statistical difference in bleeding noted in patients under medication to healthy controls in both the groups. Conclusion: Interruptions in oral anticoagulants or antiplatelet drugs must be avoided when patients INR withing therapeutic range to avoid embolic consequences.
Authors and Affiliations
Pradeep P. S.
Keywords
Related Articles
- EP ID EP569443
- DOI 10.21088/ijde.0974.6099.11218.2
- Views 82
- Downloads 0
Bite Force Evaluation in Mandibular Fractures Treated with Miniplates
Since the introduction of the Champy miniplate in treatment of mandibular fractures, the potential and effectiveness of this method has been demonstrated in many clinical studies. Inspite of the encouraging results some...
Various Methods of Detecting Micro-Leakage in Restorative Dentistry
Micro-leakage testing has been used to determine the possible clinicalperformance of a restorative material. A large number of different techniques have been developed for the investigation of micro-leakage. Many micro-l...
Success and Failure in Endodotics
The criteria for considering a root canal treatment as success or failure many. Just because the clinical symptoms have subsided that doesn’t mean that the treatment is success, its just the severity of the disease has c...
Gingival Overgrowth in a Patient with Sturge-Weber Syndrome
SturgeWeber syndrome is a rare congenital neurological and skin disorder. The pathognomic features of disease include angioma of the leptomeninges, facial nevus, convulsions and gingival hyperplasia. In the present case,...
Application of LASER in Periodontics: An Insight
The use of LASERs becomes getting more common in dentistry due to the availability of different systems. However, application of LASERs within the field of periodontics has created confusion regarding the use of LASERs....