Risk of postoperative bleeding following dental extractions in patients on antithrombotic treatment

Introduction: The risk of bleeding after dental extractions in patients taking antithrombotic medication is not well known. This study aims to investigate the incidence of postoperative bleeding following dental extractions in adult patients taking antithrombotic medication in Saudi Arabia. Methods:...

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Autores principales:	Mohammed AlSheef, Jenny Gray, AbdulSalam AlShammari
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Dental extraction Bleeding NOAC Warfarin Anticoagulant Medicine R Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/cd3a8d4b9ee74ce29d32958fe911b0dd
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spelling	oai:doaj.org-article:cd3a8d4b9ee74ce29d32958fe911b0dd2021-11-10T04:19:50ZRisk of postoperative bleeding following dental extractions in patients on antithrombotic treatment1013-905210.1016/j.sdentj.2020.09.005https://doaj.org/article/cd3a8d4b9ee74ce29d32958fe911b0dd2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1013905220307732https://doaj.org/toc/1013-9052Introduction: The risk of bleeding after dental extractions in patients taking antithrombotic medication is not well known. This study aims to investigate the incidence of postoperative bleeding following dental extractions in adult patients taking antithrombotic medication in Saudi Arabia. Methods: This retrospective study included 539 patients aged 18–93 years who attended 840 appointments for dental extractions from January 2012 to June 2016 at a tertiary care hospital in Saudi Arabia. Patients who returned with a complaint of bleeding were treated with local hemostatic measures as outpatients.Results and Conclusion: Only 1.7% of extraction appointments were associated with postoperative bleeding. The highest risk of bleeding was noted in patients receiving warfarin (3.88%), whereas those on clopidogrel had no significant risk of bleeding. Women were found to have the highest rate of bleeding, particularly those on newer oral anticoagulant medications.Dental extractions can be safely done in adults receiving antithrombotic treatment, provided established guidelines are followed; therefore, dental professionals must exercise caution when planning invasive dental treatment for patients on continued antithrombotic therapy.Mohammed AlSheefJenny GrayAbdulSalam AlShammariElsevierarticleDental extractionBleedingNOACWarfarinAnticoagulantMedicineRDentistryRK1-715ENSaudi Dental Journal, Vol 33, Iss 7, Pp 511-517 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dental extraction Bleeding NOAC Warfarin Anticoagulant Medicine R Dentistry RK1-715
spellingShingle	Dental extraction Bleeding NOAC Warfarin Anticoagulant Medicine R Dentistry RK1-715 Mohammed AlSheef Jenny Gray AbdulSalam AlShammari Risk of postoperative bleeding following dental extractions in patients on antithrombotic treatment
description	Introduction: The risk of bleeding after dental extractions in patients taking antithrombotic medication is not well known. This study aims to investigate the incidence of postoperative bleeding following dental extractions in adult patients taking antithrombotic medication in Saudi Arabia. Methods: This retrospective study included 539 patients aged 18–93 years who attended 840 appointments for dental extractions from January 2012 to June 2016 at a tertiary care hospital in Saudi Arabia. Patients who returned with a complaint of bleeding were treated with local hemostatic measures as outpatients.Results and Conclusion: Only 1.7% of extraction appointments were associated with postoperative bleeding. The highest risk of bleeding was noted in patients receiving warfarin (3.88%), whereas those on clopidogrel had no significant risk of bleeding. Women were found to have the highest rate of bleeding, particularly those on newer oral anticoagulant medications.Dental extractions can be safely done in adults receiving antithrombotic treatment, provided established guidelines are followed; therefore, dental professionals must exercise caution when planning invasive dental treatment for patients on continued antithrombotic therapy.
format	article
author	Mohammed AlSheef Jenny Gray AbdulSalam AlShammari
author_facet	Mohammed AlSheef Jenny Gray AbdulSalam AlShammari
author_sort	Mohammed AlSheef
title	Risk of postoperative bleeding following dental extractions in patients on antithrombotic treatment
title_short	Risk of postoperative bleeding following dental extractions in patients on antithrombotic treatment
title_full	Risk of postoperative bleeding following dental extractions in patients on antithrombotic treatment
title_fullStr	Risk of postoperative bleeding following dental extractions in patients on antithrombotic treatment
title_full_unstemmed	Risk of postoperative bleeding following dental extractions in patients on antithrombotic treatment
title_sort	risk of postoperative bleeding following dental extractions in patients on antithrombotic treatment
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/cd3a8d4b9ee74ce29d32958fe911b0dd
work_keys_str_mv	AT mohammedalsheef riskofpostoperativebleedingfollowingdentalextractionsinpatientsonantithrombotictreatment AT jennygray riskofpostoperativebleedingfollowingdentalextractionsinpatientsonantithrombotictreatment AT abdulsalamalshammari riskofpostoperativebleedingfollowingdentalextractionsinpatientsonantithrombotictreatment
_version_	1718440693858304000

Risk of postoperative bleeding following dental extractions in patients on antithrombotic treatment

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