[Tooth extraction and anticoagulants].
BACKGROUND
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).


METHODS
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.


CONCLUSIONS
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.
Persac
S
S
Service de chirurgie maxillofaciale, stomatologie (Pr-Péron), CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France. s_persac@hotmail.com
Boland
F-X
FX
Lavis
J-F
JF
Tardif
A
A
D015110:4-Hydroxycoumarins / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000766:Anesthesia, Dental / Q000379:methods; D000768:Anesthesia, General; D000925:Anticoagulants / Q000627:therapeutic use*; D017742:Dental Care for Chronically Ill; D005260:Female; D006490:Hemostatics / Q000627:therapeutic use*; D006760:Hospitalization; D006801:Humans; D007192:Indenes / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D006472:Oral Hemorrhage / Q000517:prevention & control; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D012189:Retrospective Studies; D014081:Tooth Extraction / Q000379:methods*; D014812:Vitamin K / Q000037:antagonists & inhibitors / Q000627:therapeutic use
D015110:4-Hydroxycoumarins; D000925:Anticoagulants; D006490:Hemostatics; D007192:Indenes; D010975:Platelet Aggregation Inhibitors; C011664:antivitamins K; D014812:Vitamin K