
A Systematic Review of the Hemorrhage Risk for Patients on Antithrombotic Medication after Dental Procedures
Author(s) -
Cristian D Pirlog,
Alina M Pirlog,
Teodor Maghiar
Publication year - 2018
Publication title -
world journal of dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.166
H-Index - 10
eISSN - 0976-6014
pISSN - 0976-6006
DOI - 10.5005/jp-journals-10015-1508
Subject(s) - antithrombotic , medicine , incidence (geometry) , intensive care medicine , dental implant , medline , systematic review , dentistry , surgery , implant , physics , political science , law , optics
Aim Antithrombotic medication represents a challenge for any dental practitioner due to the possible hemorrhage complications that can be associated with an important morbidity/mortality risk. The objective of the present literature review is to establish which dental procedures have a risk to increase the incidence of hemorrhage in patients on antithrombotic therapy. Materials and methods A systematic review of the literature was conducted using MEDLINE, PubMed, and DiscoverEd databases. The inclusion criteria used were as follows: Current antithrombotic therapy, invasive dental procedures, and postoperative incidence of bleeding follow-up. Results A total of 14 clinical studies and 5 literature reviews were selected after the initial screening. The incidence of hemorrhage was assessed for dental implant placements, dental extractions, simple dental procedures, and periodontal treatment. Conclusion A well-coagulated patient can safely have invasive dental procedures in a hospital environment or nonhospital setting without having their antithrombotic therapy altered. Local hemostatic measures can offer a proper hemorrhage control. How to cite this article Pirlog CD, Pirlog AM, Maghiar T. A Systematic Review of the Hemorrhage Risk for Patients on Antithrombotic Medication after Dental Procedures. World J Dent 2018;9(1):59-67.