Aspirin and exodontia: A comparative study of bleeding complications with aspirin therapy

Gaurav Verma, Arunesh Kumar Tiwari, Sumit Chopra
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引用次数: 14

Abstract

Aims

The fear of excessive bleeding prompts the physicians and treating surgeons to stop the aspirin therapy prior to invasive surgical procedure. Although this decreases the risk of bleeding complications, but predispose the patient to risk of thromboembolic events. With this background in mind, this study was done to evaluate the effect of aspirin on incidence of bleeding complications.

Methods

Patient on anti-platelet dose of aspirin requiring extraction of single tooth was enrolled in the study. These patients were divided into two groups with 30 patients in each group. Group 1: patients were on aspirin therapy (75–325 mg/day) who continued it during simple dental extraction and Group 2: patients stopped aspirin 7–10 days prior to procedure. Single tooth was extracted by simple intra-alveolar technique.

Result

There was no post-operative bleeding complication in any group.

Conclusion

Based on the result of the study. It can be concluded that there is no need to stop the antiplatelet dose of aspirin prior to simple tooth extraction.

阿司匹林与外牙:阿司匹林治疗出血并发症的比较研究
目的:对过度出血的恐惧促使内科医生和主治外科医生在侵入性外科手术前停止阿司匹林治疗。虽然这降低了出血并发症的风险,但使患者易患血栓栓塞事件。考虑到这一背景,本研究旨在评估阿司匹林对出血并发症发生率的影响。方法对单牙拔牙患者进行阿司匹林抗血小板剂量的研究。将患者分为两组,每组30例。第1组:患者正在接受阿司匹林治疗(75-325毫克/天),在简单拔牙期间继续服用;第2组:患者在手术前7-10天停止服用阿司匹林。采用简单的牙槽内拔牙技术。结果两组患者均无术后出血并发症发生。结论基于研究结果。由此可见,单纯拔牙前不需要停止阿司匹林抗血小板剂量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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