Tooth Extraction in Patients on Anticoagulants
Author Information
Author(s): Claudio Maranhão Pereira, Patrícia Freire Gasparetto, Danilo Santos Carneiro, Maria Elvira P. Corrêa, Cármino Antônio Souza
Primary Institution: State University of Campinas
Hypothesis
What are the risks of hemorrhagic or thromboembolic episodes in patients on anticoagulant medications after tooth extraction?
Conclusion
Extractions in patients on oral anticoagulants can be performed safely without stopping their medication, using local hemostatic techniques.
Supporting Evidence
- Only one case of postoperative bleeding occurred among 215 extractions.
- The mean INR of patients was 3.15, indicating therapeutic anticoagulation levels.
- Local hemostatic techniques were effective in preventing hemorrhagic complications.
Takeaway
If you need a tooth pulled and take blood thinners, you can still get it done safely without stopping your medicine.
Methodology
The study evaluated 108 patients on anticoagulant therapy who underwent 215 tooth extractions, monitoring INR levels and using local hemostatic techniques.
Limitations
The study may not account for all potential variables affecting bleeding risk in a broader population.
Participant Demographics
61 women and 47 men, ages 13 to 80 years, with a median age of 48.5 years.
Digital Object Identifier (DOI)
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