Ciria GCB, Prado MAM, Castañer RET, Espinosa GL, Basterrechea MM

Language: Spanish
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ABSTRACT

Introduction: Dentistry treatment in patients with high surgical risk of bleeding due to the use of antithrombotic medication is a challenge of the everyday professional practice. The adequate knowledge of the mechanism of the hemostasis and the optimum management of each patient relating the risk of thromboembolism and the risk of bleeding brings great benefits for the life of these patients.
Objective: To characterize the behavior of the post exodontias bleeding and the use of hemostatic methods on patients with cardiac condition that are on a anticoagulant treatment , without interrupting the treatment.
Methods:<7b> A descriptive –transverse study was made with a universe of 293 patients of 20 or more years old that were sent by their attending cardiologist, and that needed dental extractions as part of their dentistry treatment. With them the antithrombotic treatment was not modified to do the exodontias with the conjunction and criteria of their attending doctor. The variables studied were: Type of cardiopathy, value of INR (International normalized Ratio) of 1.0 to 3.5, level of bleeding and hemostatic method applied.
Results: The level of bleeding in these anticoagulanted patients was mild of 75% . The hemostatic method mostly used was compression of the corticals and cold thermotherapy (75%), just 2% needed suture.
Conclusions: It is possible to make minor surgeries and exodontias in patients on antithrombotic treatment always with an evaluation of bleeding/thrombolism risk made by the attending doctor. The hemorrhagic episodes that take place can be controlled using local hemostatic cares.