Abstract

VISINTINI, E; CONTARDO, L; BIASOTTO, M  and  VIGNOLETTI, F. Dental extractions in patients under anticoagulant therapy: a literature review. Av Odontoestomatol [online]. 2006, vol.22, n.4, pp.241-245. ISSN 2340-3152.

Aim of the work. In patients treated with oral anticoagulants, even simple tooth extractions can produce large hemorrhages. There are two main therapeutic outlines suggested in literature in case of little oral surgery. The first one is based on the reduction of the therapeutic dose of the drug, and the second one on the substitution with heparin. The aim of this paper was to review the.literature on the management of patients treated with anticoagulants in order to obtain univocal guidelines. Conclusion. In case of simple tooth extractions generally a vasoconstrictive anaesthetic (if there are no other contraindications), tight sutures, the application of hemostats and tronexamic acid are enough. Only in case of more complex surgery or of INR values higher than 3,5 it is necessory to reduce the anticoagulant dose or to change the therapy with heparin, if agreed by the hoemotologist and/ or the cardiologist.

Keywords : Anticoagulant drugs; extraction; healin, dental.

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