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The Optimal Hemostasis Duration After Tooth Extraction: A Randomized Controlled Trial
Navaneeth Yerragudi1, Jitendra G Chawla1, Vinoth K Kalidoss2
1Department of Dentistry, All India Institute of Medical Sciences, Mangalagiri, Mangalagiri, IND.
Cureus
|February 6, 2023
Summary
This study found no significant difference in post-extraction bleeding between 10 and 60 minutes of pressure pack use. Hemostasis is typically achieved within 10 minutes, suggesting shorter pressure pack duration is effective.
Area of Science:
- Dentistry
- Oral Surgery
Background:
- Lack of evidence-based guidelines for pressure pack duration post-tooth extraction.
- Need to optimize hemostasis and clinical efficiency.
Purpose of the Study:
- To compare post-extraction bleeding incidence with 10 minutes versus 60 minutes of pressure pack placement.
- To establish evidence for optimal pressure pack duration after dental extractions.
Main Methods:
- Randomized controlled trial at a tertiary care hospital.
- Inclusion of patients undergoing intra-alveolar tooth extractions.
- Random allocation to 10-minute (experimental) or 60-minute (control) pressure pack groups.
- Blinded observation and chi-square analysis for bleeding incidence.
Main Results:
- 528 participants (264 per group) were analyzed.
- Post-extraction bleeding incidence was 8% (60 min) vs. 6.8% (10 min).
- No statistically significant difference in bleeding between groups (p=0.618).
Conclusions:
- Hemostasis is effectively achieved within 10 minutes for most patients post-extraction.
- Recommending 10 minutes of pressure pack placement can ensure hemostasis.
- Shorter pressure pack duration may significantly save chairside time.
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