A case of extraction of mandibular wisdom teeth in patients with antiphospholipid syndrome who have severe mitral valve insufficiency

Murai, Chika; Sakata, Kei; Yoshikawa, Kazuhito; Sato, Jun; Satoh, Akira; Kitagawa, Yoshimasa

doi:10.5794/jjoms.66.8

Jpn. J. Oral. Maxillofac. Surg.

2020

DOI: 10.5794/jjoms.66.8

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A case of extraction of mandibular wisdom teeth in patients with antiphospholipid syndrome who have severe mitral valve insufficiency

Chika Murai

Kei Sakata

Kazuhito Yoshikawa

et al.

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2024

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Perioperative management of a patient with systemic lupus erythematosus-associated antiphospholipid syndrome undergoing mandibular third molar surgery

Gunturu,

Chawla,

Karipineni

et al. 2024

BMJ Case Rep

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Antiphospholipid syndrome (APS) is a systemic autoimmune condition characterised by recurrent venous or arterial thrombosis and pregnancy complications, with persistent antiphospholipid autoantibodies. APS is often found in conjunction with other autoimmune diseases, such as systemic lupus erythematosus (SLE). SLE-associated APS patients may require dental procedures like tooth extractions. Due to the complex nature of this autoimmune disorder, perioperative management requires a comprehensive approach involving various medical specialists.These patients are frequently taking medications like anticoagulants, antiplatelet drugs, disease-modifying drugs and immunosuppressants. This medication regimen can increase their risk of postoperative complications, including bleeding, thrombosis, delayed healing and postoperative infections. Currently, there are no established guidelines for performing tooth extractions in individuals with SLE-associated APS.We report a case of SLE-associated APS with pericoronitis requiring surgical extraction. The purpose of this report is to offer practical recommendations for the perioperative management of dental procedures and alteration in medications used in such cases.

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Perioperative management of a patient with systemic lupus erythematosus-associated antiphospholipid syndrome undergoing mandibular third molar surgery

Gunturu,

Chawla,

Karipineni

et al. 2024

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

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A case of extraction of mandibular wisdom teeth in patients with antiphospholipid syndrome who have severe mitral valve insufficiency

Cited by 1 publication

References 7 publications

Perioperative management of a patient with systemic lupus erythematosus-associated antiphospholipid syndrome undergoing mandibular third molar surgery

Perioperative management of a patient with systemic lupus erythematosus-associated antiphospholipid syndrome undergoing mandibular third molar surgery

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