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Dental extraction in patients rece iving dual antiplatelet therapy

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Dental extraction in patients rece iving dual antiplatelet therapy

dc.contributor.author	Sánchez Palomino, Paulino	es
dc.contributor.author	Sánchez Cobo, Paulino	es
dc.contributor.author	Rodriguez Archilla, Alberto	es
dc.contributor.author	González Jaranay, Maximino	es
dc.contributor.author	Moreu Burgos, Gerardo	es
dc.contributor.author	Calvo Guirado, José Luis	es
dc.contributor.author	Peñarrocha Diago, Miguel	es
dc.contributor.author	Gómez Moreno, Gerardo	es
dc.date.accessioned	2015-11-23T13:40:20Z
dc.date.available	2015-11-23T13:40:20Z
dc.date.issued	2015	es
dc.identifier.citation	Sánchez Palomino, Paulino ; Sánchez Cobo, Paulino ; Rodriguez Archilla, Alberto ; González Jaranay, Maximino ; Moreu, Gerardo ; Calvo Guirado, José Luis ; Peñarrocha Diago, Miguel ; Gómez Moreno, Gerardo. Dental extraction in patients rece iving dual antiplatelet therapy. En: Medicina oral, patología oral y cirugía bucal. Ed inglesa, 2015, Vol. 20, No. 5: 12-	es
dc.identifier.uri	http://hdl.handle.net/10550/48333
dc.description.abstract	Background: Dual antiplatelet therapy consists of administering antiplatelet (antiaggregant) drugs (clopidogrel and aspirin) to prevent thrombotic processes, as a preventative measure in patients with acute coronary disease, or in patients subjected to percutaneous coronary intervention. Objective: The purpose of this study was to evaluate the efficacy of a protocol for performing dental extraction in patients receiving dual antiplatelet therapy. Material and Methods: Thirty-two patients undergoing dental extractions were included in the study. The variables evaluated were: collagen-epinephrine fraction, collagen- adenosine diphosphate fraction, surgical surface, post-surgical measures, and adverse effects. Alveolar sutures and gauzes impregnated with an antifibrinolytic agent (tranexamic acid), which the patient pressed in place for 30 minutes, were applied to all patients as post- surgical measures. Descriptive statistics were calculated and analyzed with Student’s t-test to compare pairs of quantitative variables; simple regression analysis was performed using Pearson’s correlation coefficient. Statistical significance was set at p <0.05. Results: Collagen/epinephrine fraction was 264.53±55.624 seconds with a range of 135 to 300 seconds, and collagen/ADP fraction was 119.41±44.216 seconds, both values being higher than normal. As a result of the postsurgical measures taken, no patients presented post-operative bleeding, hematoma or infection. Conclusions: Dental extraction was safe for patients receiving dual anti-platelet therapy when using sutures and gauze impregnated with tranexamic acid, which the patient pressed in place for 30 minutes .	en_US
dc.subject	Odontología	es
dc.subject	Ciencias de la salud	es
dc.title	Dental extraction in patients rece iving dual antiplatelet therapy	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO::CIENCIAS MÉDICAS	es
dc.type.hasVersion	VoR	es_ES
dc.identifier.url	http://dialnet.unirioja.es/servlet/citart?info=link&codigo=5219420&orden=0	es