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An update on the management of anticoagulated patients programmed for dental extractions and surgery

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An update on the management of anticoagulated patients programmed for dental extractions and surgery

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dc.contributor.author Jiménez Soriano, Yolanda es
dc.contributor.author Poveda Roda, Rafael es
dc.contributor.author Gavaldá Esteve, Carmen es
dc.contributor.author Margaix Muñoz, María es
dc.contributor.author Sarrión Pérez, María Gracia es
dc.date.accessioned 2017-09-13T06:59:14Z
dc.date.available 2017-09-13T06:59:14Z
dc.date.issued 2008 es
dc.identifier.citation Jiménez Soriano, Yolanda ; Poveda Roda, Rafael ; Gavaldá Esteve, Carmen ; Margaix Muñoz, María ; Sarrión Pérez, María Gracia. An update on the management of anticoagulated patients programmed for dental extractions and surgery. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 13 3 2008: 6- es
dc.identifier.uri http://hdl.handle.net/10550/60763
dc.description.abstract Oral anticoagulants (OACs) antagonizing vitamin K - fundamentally sodium warfarin and acenocoumarol - are widely used for preventing arterial thromboembolism in patients with atrial fibrillation and/or heart valve prostheses, and for the treatment and prevention of deep venous thrombosis and pulmonary embolism. The handling of these drugs requires correct monitorization and dose adjustment to obtain the desired therapeutic effect while minimizing the adverse effects associated both with excessive anticoagulation (which leads to bleeding) and with insufficient antithrombotic action (which can produce thrombosis). This is particularly important when patients must be subjected to surgical procedures such as tooth extractions. In this context, a number of management recommendations are available. The present study offers an update on the recommendations for the management of anticoagulated patients programmed for tooth extractions. In recent years, most studies do not recommend reducing or interrupting anticoagulation, or replacing it with heparin, prior to tooth extraction - provided therapeutic international normalized ration (INR) levels are maintained, with emphasis on the application of local measures such as antifibrinolytic agents, for the control of hemostasia. es
dc.title An update on the management of anticoagulated patients programmed for dental extractions and surgery es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi es
dc.type.hasVersion VoR es_ES

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