Influence of aspirin on post-extraction bleeding - A clinical study.

J Int Soc Prev Community Dent

Department of Oral and Maxillofacial Pathology, Karnavati School of Dentistry, Gandhinagar, Gujarat, India.

Published: November 2014

AI Article Synopsis

  • The study aimed to assess the impact of aspirin on post-extraction bleeding in dental patients aged 50-65.
  • Patients were divided into two groups: those continuing aspirin (Group A) and those discontinuing it (Group B), with results measured using bleeding and clotting times.
  • Findings showed that while bleeding time increased in the aspirin group and clotting time increased in the discontinuing group, all results remained within normal limits, suggesting that antiplatelet therapy can generally continue for dental procedures without significant concern.
  • The study aligns with American Heart Association guidelines, which advise that if discontinuation is necessary, it should be brief.

Article Abstract

Aim: The aim of the study was to evaluate the influence of aspirin on post-extraction bleeding in a clinical setup.

Materials And Methods: Two hundred patients aged between 50 and 65 years who were indicated for dental extraction for endodontic reason were selected from the outpatient Department of Oral and Maxillofacial Surgery. The patients were randomly divided into aspirin continuing group (group A) and aspirin discontinuing group (group B). After checking all the vital signs, the extractions were carried out. Bleeding time and clotting time were recorded for evaluation by Chi-square test.

Results: Chi-square test revealed that the bleeding time increased (3.8 ± 0.75) in group A patients continued with the aspirin therapy where as group B discontinued aspirin. Similarly, the clotting time increased in group B patients and decreased in group A patients. But in both the groups, bleeding and clotting time remained within normal limits.

Conclusion: Reviewing most of the dental and medical literature, it can be concluded that there is absolutely no need to discontinue antiplatelet therapy for any ambulatory dental procedure, and even if the practitioner wishes to discontinue, it should not be for more than 3 daAQ2ys. This is also stated in the guidelines of the American Heart Association.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247554PMC
http://dx.doi.org/10.4103/2231-0762.144602DOI Listing

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