Update on the management of anticoagulated and antiaggregated patients in dental practice: Literature review.

J Clin Exp Dent

DDS, MD, PhD, Department of Odontoestomatology. Faculty of Medicine and Health Sciences (School of Dentistry), University of Barcelona. University Campus of Bellvitge, Barcelona, Spain. / Dental Hospital University of Barcelona, (Barcelona University) / Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, Barcelona, Spain.

Published: September 2021

AI Article Synopsis

  • The literature review aimed to update dental management practices for patients on oral antiplatelet and anticoagulant medications, particularly in relation to oral surgery.
  • A total of 13 studies involving 3,497 patients were analyzed, all of whom were receiving some form of antithrombotic treatment while undergoing different oral surgical procedures.
  • Findings indicated that the risk of bleeding during and after basic oral surgery in these patients is low and can be effectively controlled with local hemostatic techniques.

Article Abstract

Background: Oral antiplatelet and anticoagulant drugs are widely used in a large number of patients visiting the dentist, and there has been much controversy over the years towards their clinical management. The aim to carry out a literature review in order to develop an update on dental management in anticoagulated and / or anti aggregated patients, focusing on oral surgery.

Material And Methods: A bibliographic search was carried out in PubMed on studies published between January 1, 2018, until December 10, 2020, using the keywords ("antiplatelet" OR "antiplatelets") AND ("dentistry"), and ("anticoagulant" OR "anticoagulants") AND ("dentistry").

Results: The number of studies included in this review was 13, and the number of patients among all of them was 3.497 patients under treatment with some type of antithrombotic drug, who underwent different oral surgery treatments.

Conclusions: There is a low risk of peri- and postoperative bleeding events during basic oral surgery treatments in antiplatelet or anticoagulated patients, which can be easily managed through the use of local haemostatic measures. Oral surgery, antiplatelet drugs, anticoagulant drugs, dental treatment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8464381PMC
http://dx.doi.org/10.4317/jced.58586DOI Listing

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