[Minor dentoalveolar surgery in patients ungergoing antithrombotic therapy].
Minor oral dentoalveolar surgery can be performed safely without interrupting treatment with vitamin K antagonists provided the INR is within therapeutic range. Platelet inhibitors such as aspirin and clopidogrel may increase the risk of bleeding, but the risk of disabling or fatal sequelae is generally higher if the treatment is stopped. Application of local haemostatic agents and postoperative mouthwashes with tranexamic acid are recommended. Any changes in antithrombotic therapy must be undertaken in collaboration with the patient's prescribing physician.
Nielsen
Jørn Dalsgaard
JD
Haematologisk Klinik 4, Rigshospitalet, Finsencentret, DK-2100 København Ø. jdn@dadlnet.dk
Laetgaard
Camilla Amtoft
CA
Schou
Søren
S
Jensen
Simon Storgård
SS
D000925:Anticoagulants / Q000009:adverse effects*; D016063:Blood Loss, Surgical; D000075202:Contraindications; D005343:Fibrinolytic Agents / Q000009:adverse effects*; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D006472:Oral Hemorrhage / Q000139:chemically induced / Q000209:etiology* / Q000517:prevention & control; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects; D019106:Postoperative Hemorrhage / Q000139:chemically induced / Q000209:etiology / Q000517:prevention & control; D012307:Risk Factors; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D014081:Tooth Extraction / Q000009:adverse effects
D000925:Anticoagulants; D005343:Fibrinolytic Agents; D006490:Hemostatics; D010975:Platelet Aggregation Inhibitors