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Lack of evidence for increased postoperative bleeding risk for dental osteotomy with continued aspirin therapy

Authors :
Max Heiland
Clarissa Precht
Henning Hanken
Ferdinand Tieck
Lan Kluwe
Wolfgang Eichhorn
Ralf Smeets
Marc Eichhorn
Source :
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 119:17-19
Publication Year :
2015
Publisher :
Elsevier BV, 2015.

Abstract

Objective Dental osteotomy, the removal of an impacted, ankylosed, or severely destroyed tooth requiring an osteotomy, is more invasive than other minor dental procedures and therefore also has a higher bleeding risk. A considerable number of patients under antiplatelet therapy interrupt their therapy perioperatively, which, however, increases the risk of thromboembolism. Study Design This retrospective study assessed postoperative bleeding incidence for a total of 297 dental osteotomies with continued aspirin therapy, compared with that of 179 similar procedures on patients who were not on any anticoagulation or anti-platelet therapy. All procedures were carried out on an outpatient basis. Results Postoperative bleeding event was rare in both groups, 5 (1.7%) and 2 (1.1%), respectively, and the difference was not significant ( P = .7). Conclusions Continued aspirin therapy in patients undergoing dental osteotomies has no effect on the incidence of postoperative bleeding and should not be interrupted.

Details

ISSN :
22124403
Volume :
119
Database :
OpenAIRE
Journal :
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Accession number :
edsair.doi.dedup.....4bdcb1b8afa86d8cbdd27ff7d4f83da8
Full Text :
https://doi.org/10.1016/j.oooo.2014.08.016