An Assessment of the Incidence of Prolonged Postoperative Bleeding After Dental Extraction Among Patients on Uninterrupted Low Dose Aspirin Therapy and to Evaluate the Need to Stop Such Medication Prior to Dental Extractions

Abstract

Purpose To propose that low dose aspirin therapy need not be withdrawn for routine dental extraction procedure. Aim This study was designed to evaluate the post operative bleeding in patients on low dose aspirin therapy by dividing them into two groups: one with withdrawing and the other without withdrawing the regime before dental extraction. Materials and Methods This study included 80 patients on low dose aspirin therapy. They were divided into two groups of 40 patients each; Group I (control group) included patients on who were asked to stop the medication 5 days prior to dental extraction; Group II (test group) included patients who were asked not to stop the medication prior to dental extraction. Strict atraumatic extractions were performed by a single surgeon. Data were analyzed using the independent ''t'' test @ 80 % power. Results The mean pre-operative bleeding time in the control group was 87.75 s and the test group was 95.75 s which was statistically significant (p \ 0.05). The mean pre-operative clotting time in the control group was 228.63 s and the test group was 246.25 s which was also statistically significant (p \ 0.05). No patients in either group had any episode of prolonged postoperative bleeding following extraction from the surgical site and no local haemostatic measures had to be used except for one patient in Group II. Conclusion Authors conclude from this study that dental extraction procedures in patients on low-dose therapy can be safely carried out without stopping the antiplatelet therapy.

Comparing the Efficacy of Triclosan Coated Sutures versus Chlorhexidine Coated Sutures in Preventing Surgical Site Infection after Removal of Impacted Mandibular Third Molar

“…With a rich case bank established over 3 decades we have been able to publish extensively in our domain [15][16][17][18][19][20][21][22][23][24][25]. Based on this inspiration we aim to evaluate the efficacy of triclosan coated sutures versus chlorhexidine coated sutures in preventing surgical site infection after removal of an impacted mandibular third molar.…”

Morphometric Analysis of Stylomastoid Foramen Location and its Clinical Importance

“…Stylomastoid Foramen is the most frequently employed method of anesthesia in cataract surgery. knowing the exact location of the foramen is of great importance to surgeons and anaesthetists in locating the trunk of the facial nerve in various procedures (Abdul Wahab et al, 2017;eapen, baig and Avinash, 2017;patil et al, 2017;Jain and Nazar, 2018;J et al, 2018;marimuthu et al, 2018;Wahab et al, 2018;Abhinav et al, 2019;ramadorai, ravi and Narayanan, 2019;Senthil kumar et al, 2019;Sweta, Abhinav and ramesh, 2019). based on this inspiration we aim to locate the styloid foramen with two measurements, from the tip of the mastoid process to stylomastoid foramen and the other measurement is from the articular tubercle to the stylomastoid foramen.…”

Implications of Diabetes Mellitus on Minor Oral Surgical Procedures - A Questionnaire Survey Among Undergraduate Student Practitioners

“…With such a high prevalence and burden of the disease, especially in indian subcontinent it is essential that all healthcare professionals managing these patients are well aware about the implications and the potential adverse effects of the disease. With a rich case bank established over 3 decades we have been able to publish extensively in our domain (Abdul Wahab et al, 2017a;eapen, baig and Avinash, 2017;Patil et al, 2017a;Jain and nazar, 2018a;J et al, 2018a;marimuthu et al, 2018a;Wahab et al, 2018;Abhinav et al, 2019;Ramadorai, Ravi and narayanan, 2019a;Senthil Kumar et al, 2019a;Sweta, Abhinav and Ramesh, 2019a) (Abdul Wahab et al, 2017b;eapen, baig and Avinash, 2017;Patil et al, 2017b;Jain and nazar, 2018b;J et al, 2018b;marimuthu et al, 2018b;Wahab et al, 2018;Abhinav et al, 2019;Ramadorai, Ravi and narayanan, 2019b;Senthil Kumar et al, 2019b;Sweta, Abhinav and Ramesh, 2019b). based on this inspiration we aim to compare the knowledge about the implications of diabetes mellitus on minor oral surgical procedures and the approach towards diabetic patients among the undergraduate dental students.…”