[Tooth extraction and anticoagulants].

Rev Stomatol Chir Maxillofac

Service de chirurgie maxillofaciale, stomatologie (Pr-Péron), CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.

Published: June 2007

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.

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Source
http://dx.doi.org/10.1016/j.stomax.2006.10.007DOI Listing

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