Aspirin and bleeding in dentistry: an update and recommendations.
Aspirin use in the United States remains high because of its diverse and beneficial activities. In adults at risk for cardiovascular thrombotic events, low-dose aspirin is an excellent preventive agent; however, its antiplatelet properties have contributed to a perceived increased risk for bleeding after dental extractions. This article discusses recent evidence regarding the thrombotic risks associated with discontinuing aspirin use in patients who take aspirin daily and presents a new recommendation for continuing low-dose aspirin during invasive dental procedures.
Brennan
Michael T
MT
Oral Medicine Residency Director, Department of Oral Medicine, Carolinas Medical Center, Charlotte, NC, USA.
Wynn
Richard L
RL
Miller
Craig S
CS
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects*; D001241:Aspirin / Q000008:administration & dosage / Q000009:adverse effects*; D001792:Blood Platelets / Q000187:drug effects; D002318:Cardiovascular Diseases / Q000188:drug therapy; D003729:Dental Care / Q000379:methods*; D006470:Hemorrhage / Q000139:chemically induced*; D006801:Humans; D010512:Periodontal Index; D019106:Postoperative Hemorrhage / Q000139:chemically induced; D013375:Substance Withdrawal Syndrome; D013927:Thrombosis / Q000517:prevention & control
D000894:Anti-Inflammatory Agents, Non-Steroidal; D001241:Aspirin