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Antiplatelet therapy and exodontia.
Journal of the American Dental Association (1939)
|October 31, 2015
Summary
For patients undergoing tooth extraction (exodontia) while on antiplatelet therapy, the risk of bleeding is low. Continuing antiplatelet medication is generally safer than stopping it to prevent blood clots.
Area of Science:
- Dental Surgery
- Pharmacology
- Thrombosis Management
Background:
- Review of management considerations for exodontia in patients using antithrombotic medications.
- Focus on medications affecting platelet function or aggregation.
Purpose of the Study:
- To review literature on antiplatelet therapy indications and mechanisms.
- To guide perioperative management for patients on antiplatelet agents undergoing dentoalveolar surgery.
Main Methods:
- Literature review focused on antiplatelet therapy and exodontia.
- Analysis of perioperative management strategies.
Main Results:
- Balancing bleeding risk against thromboembolic event risk is crucial.
- Low risk of bleeding complications with single or dual antiplatelet therapy.
- Local hemostatic measures effectively control bleeding.
Conclusions:
- Exodontia bleeding risk is typically lower than thromboembolic risk from therapy cessation.
- Dentists can safely perform exodontia on patients continuing antiplatelet therapy.
- Consultation with the prescribing physician is recommended before altering therapy.
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