[Dental procedures for patients using oral anticoagulation: new insights].
What treatment is appropriate for a patient who has to undergo an invasive dental procedure if that patient is using medication that influences the blood coagulation system? Should the medication be stopped before the invasive procedure, with the risk of complications involving re-thrombosis? Or should the procedure be carried out without adjusting the medication? What is the risk of bleeding complications? Recent studies appear to indicate that temporarily stopping medication is in many cases unnecessary and can even harm the patient. In recent decades dentists have received a great number of diverse recommendations. In this article recent research in this field is summarized and evaluated. The authors advocate the development of evidence-based clinical guidelines.
van Diermen
D E
DE
Uit de sectie Ziekteleer bij de afdeling Mondziekten en Kaakchirurgie, Academisch Centrum Tandheelkunde Amsterdam (ACTA), Amsterdam. d.v.diermen@acta.nl
Hoogstraten
J
J
van der Waal
I
I
D000925:Anticoagulants / Q000009:adverse effects* / Q000627:therapeutic use; D017742:Dental Care for Chronically Ill; D019317:Evidence-Based Medicine; D006801:Humans; D019934:International Normalized Ratio; D006472:Oral Hemorrhage / Q000517:prevention & control*; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects* / Q000627:therapeutic use; D017410:Practice Guidelines as Topic; D013923:Thromboembolism / Q000517:prevention & control
D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors