[Surgical stomatological interventions of patients on anticoagulant therapy (with description of two patients)].

Abstract

The possible risk factors originating during surgical stomatological interventions of patients on anticoagulant therapy are described in the paper. They are connected both with the main disease the reason the patient is on such a therapy and with the intake of anticoagulants being of two kinds; direct (physiological) and indirect. Two patients are described: one with prosthetization in 1982 with aorta prosthesis because of aortic valvular defect and a female patient with lupus eythematodes disseminata and severe organ disorders resulting from that (cardiac, renal, amputation of the left arm). Both patients were on maintenance therapy with indirect coagulants: sincoumar and sintrom. The author describes the pre-operation treatment, mode of anticoagulant dosing during and after the surgical intervention and the agents used for local hemostasis and antibiotic protection. Hemorrhagic complications were not observed in the patients described. Based on literature data and the patients described, the authors takes the liberty to sum up the tendencies in the behaviour of the stomatologist during surgical sanation of oral cavity of patients, on anticoagulant therapy.