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Revista Odontológica Mexicana Órgano Oficial de la Facultad de Odontología UNAM

ISSN 1870-199X (Print)
Órgano oficial de la Facultad de Odontología, UNAM
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2005, Number 4

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Rev Odont Mex 2005; 9 (4)

Patient management with anticoagulant treatment previous oral surgery

Pedemonte TC, Montini C, Castellón L
Full text How to cite this article

Language: Spanish
References: 11
Page: 171-177
PDF size: 175.68 Kb.


Key words:

Oral anticoagulants, oral surgery, complications, protocol.

ABSTRACT

Retrospective study of 48 patients in treatment with oral anticoagulants requiring oral surgery. Each patient was required to undergo preoperative assessment of prothrombin time. The suspension of the oral anticoagulant two days and the acetylsalicylic acid 7 days, before the surgery was indicated. Sutures were used in all patients as a local haemostasis method. There were no bleedings detected or other complications among the patients. This study presents a review of different protocols for managing patients under oral anticoagulant therapy requiring oral surgery.


REFERENCES

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  2. Hardman, Limbird, Gilman. The pharmacological basis of therapeutics. Ed. McGraw-Hill, 10 edition. 2001: 1519-38.

  3. Mehra, Cottrell, Bestgen, Booth. Management of heparin therapy in the high-risk, chronically anticoagulated, oral surgery patient: a review and a proposed normogram. J Oral Maxillofac Surg 2000; 58: 198-202.

  4. Souto, Oliver, Zuazu-Jausorol, Vives, Fontcuberta. Oral surgery in anticoagulated patients without reducing the dose of oral anticoagulant: a prospective randomized study. J Oral Maxillofac Surg 1996; 54: 27-32.

  5. Bodner, Weinstein, Baumgarten. Efficacy of fibrin sealant in patients on various levels of oral anticoagulant undergoing oral surgery. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod 1998; 86: 421-4.

  6. Ramström, Sindet-Petersen, Hall, Blombäck, Alander. Prevention of post-surgical bleeding in oral surgery using tranexamic acid without dose modification of oral anticoagulants. J Oral Maxillofac Surg 1993; 51: 1211-1216.

  7. Borea, Montebugnoli, Capuzzi, Magelli. Tranexamic acid as a mouthwash in anticoagulant-treated patients undergoing oral surgery. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod 1993; 75: 29-31.

  8. Campbell, Alvarado, Murray. Anticoagulation and minor oral surgery: should the anticoagulation regimen be altered? J Oral Maxillofac Surg 2000; 58: 131-135.

  9. Webster, Wilde. Management of anticoagulation in patients with prosthetic heart valves undergoing oral and maxillofacial operations. Br J Oral Maxillofac Surg 2000; 38: 124-6.

  10. Blinder, Manor, Martinowitz, Taicher. Dental extractions in patients maintained on oral anticoagulant therapy: comparison of INR value with occurrence of postoperative bleeding. Int J Oral Maxillofac Surg 2001; 30: 518-521.

  11. Scully, Wolff. Oral surgery in patients on anticoagulant therapy. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod 2002; 94: 57-64.




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Rev Odont Mex. 2005;9