Managing Dental Extractions in Patients on Antiplatelet Therapy: A Comprehensive Approach

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Giuseppe Marano*

Abstract

Abstract


Dental extractions in patients under antiplatelet therapy present a unique set of challenges, primarily due to an increased risk of bleeding during and after the procedure. These medications are vital for preventing cardiovascular events but impair platelet function, potentially complicating oral surgical interventions. This article explores the interaction between antiplatelet drugs and dental procedures, focusing on practical strategies, evidence-based guidelines, and clinical considerations to ensure patient safety and optimize outcomes. It provides an in-depth review of current literature and practical recommendations for dental professionals.

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Giuseppe Marano*. (2024). Managing Dental Extractions in Patients on Antiplatelet Therapy: A Comprehensive Approach. Journal of Cardiovascular Medicine and Cardiology, 11(4), 106–108. https://doi.org/10.17352/2455-2976.000217
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Abubakar M, Raza S, Hassan KM, Javed I, Hassan KM, Farrukh F, et al. Efficacy, safety, and role of antiplatelet drugs in the management of acute coronary syndrome: A comprehensive review of literature. Cureus. 2023 Mar 18;15(3):e36335. Available from: https://doi.org/10.7759/cureus.36335

Napeñas JJ, Oost FC, DeGroot A, Loven B, Hong CH, Brennan MT, et al. Review of postoperative bleeding risk in dental patients on antiplatelet therapy. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Apr;115(4):491-9. Available from: https://doi.org/10.1016/j.oooo.2012.11.001

Moldovan MA, Filip LV, Ciurea M, Termure DA, Ostas D, Rotar H, et al. Bleeding and thromboembolic risk in patients under anticoagulant therapy receiving oral surgery: A systematic review. Med Pharm Rep. 2023 Oct;96(4):346-357. Available from: https://doi.org/10.15386/mpr-2519

Eikelboom JW, Hirsh J, Spencer FA, Baglin TP, Weitz JI. Antiplatelet drugs: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012 Feb;141(2 Suppl):e89S-e119S. Available from: https://doi.org/10.1378/chest.11-2293

Bean T, Aruede G. Conscious sedation in dentistry. 2023. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. Available from: https://pubmed.ncbi.nlm.nih.gov/37276289/

Lewandowski B, Myszka A, Migut M, Czenczek-Lewandowska E, Brodowski R. Analysing the effectiveness of topical bleeding care following tooth extraction in patients receiving dual antiplatelet therapy-retrospective observational study. BMC Oral Health. 2021 Jan 15;21(1):31. Available from: https://doi.org/10.1186/s12903-021-01391-9

Ockerman A, Miclotte I, Vanhaverbeke M, Verhamme P, Poortmans LL, Vanassche T, et al. Local haemostatic measures after tooth removal in patients on antithrombotic therapy: A systematic review. Clin Oral Investig. 2019 Apr;23(4):1695-1708. Available from: https://doi.org/10.1007/s00784-018-2576-x

Lee JK. Dental management of patients on anti-thrombotic agents. J Korean Assoc Oral Maxillofac Surg. 2018 Aug;44(4):143-150. Available from: https://doi.org/10.5125/jkaoms.2018.44.4.143

Patel N, Patel V, Sarkar DT, Nokes T, Blacklock P. Dual anti-platelet therapy and dento-alveolar surgery. How do we manage patients on anti-platelet medication? Br Dent J. 2014;217:E24. Available from: https://www.nature.com/articles/sj.bdj.2014.1055

Morimoto Y, Niwa H, Minematsu K. Hemostatic management of tooth extractions in patients on oral antithrombotic therapy. J Oral Maxillofac Surg. 2008 Jan;66(1):51-7. Available from: https://doi.org/10.1016/j.joms.2007.06.655

Jaiswal P, Agrawal R, Gandhi A, Jain A, Kumar A, Rela R. Managing anticoagulant patients undergoing dental extraction by using hemostatic agent: Tranexamic acid mouthrinse. J Pharm Bioallied Sci. 2021 Jun;13(Suppl 1):S469-S472. Available from: https://doi.org/10.4103/jpbs.JPBS_639_20