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Aspirin use and post-operative bleeding from dental extractions
M T Brennan1, M A Valerin, J L Noll
1Department of Oral Medicine, Carolinas Medical Center, Charlotte, NC 28232, USA. mike.brennan@carolinas.org
Journal of Dental Research
|July 25, 2008
Summary
Discontinuing aspirin before dental procedures is unnecessary. This study found no increased bleeding risk for patients undergoing single tooth extraction while taking aspirin.
Area of Science:
- Cardiovascular Disease Prevention
- Dental Surgery
- Pharmacology
Background:
- Aspirin is widely used for cardiovascular disease prevention.
- Patients often stop aspirin before dental procedures due to bleeding concerns.
Purpose of the Study:
- To investigate if aspirin increases bleeding after a single tooth extraction.
- To determine if aspirin cessation is necessary for dental procedures.
Main Methods:
- 36 healthy individuals undergoing tooth extraction were randomized.
- Participants received either 325 mg/day aspirin or placebo for 4 days.
- Oral and cutaneous bleeding times, and platelet aggregation were measured.
Main Results:
- No significant differences in oral bleeding time, cutaneous bleeding time, or other bleeding outcomes were observed between aspirin and placebo groups.
- Whole-blood aggregation results differed significantly between groups.
- Compliance was similar in both groups.
Conclusions:
- Continuing aspirin therapy does not increase bleeding complications after single tooth extraction.
- There is no need for patients to discontinue aspirin prior to undergoing a single tooth extraction.
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