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Does low-dose aspirin therapy complicate oral surgical procedures?
L Ardekian1, R Gaspar, M Peled
1Department of Oral and Maxillofacial Surgery, Rambam Medical Center, Haifa, Israel.
Journal of the American Dental Association (1939)
|March 15, 2000
Summary
Continuing low-dose aspirin therapy before oral surgery is safe and effective. Local hemostatic methods adequately control bleeding, avoiding risks associated with stopping aspirin, such as emboli formation.
Area of Science:
- Oral Surgery
- Cardiovascular Pharmacology
Background:
- Fear of bleeding often leads to stopping aspirin before surgery.
- This study evaluated aspirin's effect on bleeding during oral surgery.
Purpose of the Study:
- To assess the impact of continuing versus stopping aspirin therapy on bleeding during oral surgery.
- To determine if low-dose aspirin cessation is necessary before dental extractions.
Main Methods:
- 39 patients on daily aspirin underwent dental extractions.
- Patients were randomized to either continue or stop aspirin 7-10 days prior.
- Bleeding time tests and intraoperative bleeding were measured.
Main Results:
- Patients continuing aspirin had significantly longer bleeding times (3.1 min vs. 1.8 min).
- However, all bleeding times remained within the normal range.
- Local hemostatic techniques effectively controlled bleeding in all cases; no uncontrolled bleeding occurred.
Conclusions:
- Low-dose aspirin therapy should not be discontinued before oral surgery.
- Standard local hemostatic measures are sufficient for bleeding control.
- Continuing aspirin prevents risks like emboli formation.
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