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Dental management of patients receiving anticoagulant and/or antiplatelet treatment

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Dental management of patients receiving anticoagulant and/or antiplatelet treatment

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dc.contributor.author Mingarro de León, Ana es
dc.contributor.author Chaveli López, Begonya es
dc.contributor.author Gavaldá Esteve, Carmen es
dc.date.accessioned 2014-05-22T10:06:43Z
dc.date.available 2014-05-22T10:06:43Z
dc.date.issued 2014 es
dc.identifier.citation Mingarro de León, Ana ; Chaveli López, Begonya ; Gavaldá Esteve, Carmen. Dental management of patients receiving anticoagulant and/or antiplatelet treatment. En: Journal of Clinical and Experimental Dentistry, 2014, Vol. 6, No. 2: 155-161 es
dc.identifier.uri http://hdl.handle.net/10550/35383
dc.description.abstract Introduction: Adequate hemostasis is crucial for the success of invasive dental treatment, since bleeding problems can give rise to complications associated with important morbidity-mortality. The dental treatment of patients who tend to an increased risk of bleeding due to the use of anticoagulant and/or antiplatelet drugs raises a challenge in the daily practice of dental professionals. Adequate knowledge of the mechanisms underlying hemostasis, and the optimized management of such patients, are therefore very important issues. Objectives: A study is made of the anticoagulant / antiplatelet drugs currently available on the market, with evaluation of the risks and benefits of suspending such drugs prior to invasive dental treatment. In addition, a review is made of the current management protocols used in these patients. Material and Methods: A literature search was made in the PubMed, Cochrane Library and Scopus databases, covering all studies published in the last 5 years in English and Spanish. Studies conducted in humans and with scientific evidence levels 1 and 2 (metaanalyses, systematic reviews, randomized phase 1 and 2 trials, cohort studies and case-control studies) were considered. The keywords used for the search were: tooth extraction, oral surgery, hemostasis, platelet aggregation inhibitors, antiplatelet drugs, anticoagulants, warfarin, acenocoumarol. Results and Conclusions: Many management protocols have been developed, though in all cases a full clinical history is required, together with complementary hemostatic tests to minimize any risks derived from dental treatment. Many authors consider that patient medication indicated for the treatment of background disease should not be altered or suspended unless so indicated by the prescribing physician. Local hemostatic measures have been shown to suffice for controlling possible bleeding problems resulting from dental treatment. en_US
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Dental management of patients receiving anticoagulant and/or antiplatelet treatment es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.type.hasVersion VoR es_ES

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