A cohort study on anticoagulant therapy risks in dental patients after multiple extractions

Matarese, Marco; Cervino, Gabriele; Fiorillo, Luca; Stelitano, Carmelo; Bellantoni, Martina Imbesi; Meto, Aida; Lucchina, A Greco; Tornello, Flavio A.; Anastasi, Michele Runci; Rengo, Carlo

doi:10.23736/s2724-6329.21.04551-4

Cited by 4 publications

(2 citation statements)

References 34 publications

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“…In the field of oral pathologies, it is fundamental to make a diagnosis [ 15 , 16 ]: through ( dia ) knowledge ( gnosis ), we aim to answer the question: What is the patient suffering from? In order to have enough knowledge to allow to name a wound, it is necessary to understand the visited patient: lifestyle habits, assumption of drugs, presence of systemic pathologies (generalized or localized), familiarity for certain medical conditions, history of the lesion in the matter, related markers, and symptoms are all aspects that will have to be collected and connected to each other to allow a diagnostic suspicion [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

LinguAPP: An m-Health Application for Teledentistry Diagnostics

Fazio

Lombardo

Marino

et al. 2022

IJERPH

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An Android/iOS application for low-cost mobile devices to aid in dental diagnosis through questionnaire and photos is presented in this paper. The main purposes of our app lie in the ease of use even for nonexperienced users, in the limited hardware requirements that allow a wide diffusion, and in the possibility to modify the questionnaire for different pathologies. This tool was developed in about a month at the beginning of the COVID-19 (SARS-CoV-2) pandemic and is still in use in Italy to allow support to patients without going to the hospital, if not strictly necessary.

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Section: Introductionmentioning

confidence: 99%

LinguAPP: An m-Health Application for Teledentistry Diagnostics

Fazio

Lombardo

Marino

et al. 2022

IJERPH

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“…Patients undergoing chronic oral anticoagulant therapy are prone to bleeding complications after surgeries, including dental extractions. [ 1 ] There has been a considerable increase in the number of patients requiring dental extraction,[ 2 ] which is an acute intervention that may produce immediate or mediate bleeding complications. [ 3 ] Conventionally, treatment protocol included discontinuation of the oral anticoagulant drug some days before surgery, bridging it with heparin,[ 4 , 5 ] but the current recommendation is to maintain the anticoagulation therapy and improve the haemostatic process using local haemostatic agents.…”

Section: Introductionmentioning

confidence: 99%

Bleeding Complications in Relation to the International Normalized Ratio for Dental Extractions in Patients under Chronic Anticoagulant Therapy - An Evaluative Study

Garcia-Blanco

Puia

Hilber

2022

Annals of Maxillofacial Surgery

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Introduction: Recent simple dental extraction protocols suggest that therapeutic levels of the anticoagulant drug should be maintained because bleeding complications could be managed with local haemostasis manoeuvres. The aim of the present study was to evaluate the association between bleeding complications and the international normalized ratio (INR) values in patients after dental extractions completed with a plug of bismuth subgallate, without interrupting anticoagulant administration. Materials and Methods: Patients undergoing oral Vitamin K antagonist chronic anticoagulant therapy requiring simple dental extractions were included in the study. INRs were recorded on the day of the surgery, and dental extractions were performed applying bismuth subgallate as a haemostatic agent. Patients took their anticoagulation drug normally. Bleeding complications were recorded. Results: The study included 694 patients, of whom 11 (1.58%) presented mediate post-operative bleeding that was effectively controlled through local manoeuvres. No episode of thromboembolism or infectious endocarditis was observed. The incidence of bleeding complications was not related to the INR values ( P > 0.05). Discussion: INR values were not related to bleeding complications when simple dental extractions were performed applying bismuth subgallate as a haemostatic agent.

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Management of Patients Receiving Anticoagulation Therapy in Dental Practice: A Systematic Review

Inchingolo,

Piras

et al. 2024

Healthcare

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Background: Anticoagulant drugs are a valuable tool for minimizing thrombotic risks in at-risk patients. The purpose of this study is to conduct a literature review highlighting the management of these drugs during daily clinical dental practice. Materials and Methods: We limited our search to English-language papers published between 1 January 1989, and 7 March 2024, in PubMed, Scopus and Web of Science that were relevant to our topic. In the search approach, the Boolean keywords “anticoagulant AND dentistry” were used. Results: Twenty-five clinical trials were included for final review from 623 articles obtained from the databases Web of Science (83), PubMed (382), and Scopus (158), eliminating duplicates and 79 off-topic items, resulting in 419 articles after removing 315 entries and confirming eligibility. Overall, these studies support the use of local hemostatic measures to manage the risk of bleeding in patients on anticoagulant therapy undergoing dental procedures and highlight the importance of greater education and collaboration among healthcare professionals. Conclusions: Research and clinical investigation have improved understanding and management of dental procedures in patients undergoing anticoagulant or antiplatelet therapy. Hemostatic agents, clinical protocols, risk factors, and continuous education are essential for navigating the complexities of anticoagulant therapy, ensuring optimal outcomes and enhancing patient well-being.

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A cohort study on anticoagulant therapy risks in dental patients after multiple extractions

Cited by 4 publications

References 34 publications

LinguAPP: An m-Health Application for Teledentistry Diagnostics

LinguAPP: An m-Health Application for Teledentistry Diagnostics

Bleeding Complications in Relation to the International Normalized Ratio for Dental Extractions in Patients under Chronic Anticoagulant Therapy - An Evaluative Study

Management of Patients Receiving Anticoagulation Therapy in Dental Practice: A Systematic Review

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