THE PARTICULARITIES OF IMPLANT-PROSTHETIC TREATMENT IN PATIENTS UNDER ANTIGOAGULANT THERAPY
Journal Title: Journal MEDICINA STOMATOLOGIĂ - Year 2013, Vol 70, Issue 3
Abstract
The aim of this study was to determine the optimal conditions for implant-prosthetic rehabilitation of patients under anticoagulation therapy without cancelling this medication. Four patients under anticoagulant medication were included in the study. The following procedures have been performed: placement of 21 two-stage dental implants, trans-crestal sinus floor elevation, the bilateral elevation of sinus floor membrane via lateral access. The anticoagulant therapy was not cancelled, but the dose of this drugs has been adjusted according to the International Normalized Ratio (INR) values. There were no signs of abundand bleeding during the surgery. One case of delayed bleeding (at the 7-th day) has been recorded postoperatively, due to hyper dosage of anticoagulant (INR=6,3). It’s intensity was not significant, ant it was easy controlled using local applications with human thrombin and 5% aminocaproic acid. It was demonstrated by this study that dental implant placement and other oral surgery procedures (trans-crestal sinus floor elevation, the elevation of sinus floor membrane via lateral access) in patients under anticoagulant medications is possible to perform without its cancellation. The priority was given to minimally invasive methods.
Authors and Affiliations
Zănoagă Oleg, Topalo Valentin , Sîrbu Dumitru, Cucu Ghenadie , Mostovei Andrei
Keywords
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- EP ID EP87919
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