Hemostatic management for periodontal treatments in patients on oral antithrombotic therapy: a retrospective study

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Yoshinari MorimotoKazuo Minematsu

Abstract

We retrospectively investigated hemostatic management for periodontal treatments in patients on oral antithrombotic therapy. A total of 155 periodontal treatment procedures were performed in 139 patients who continued taking conventional antithrombotic drugs. Insertion of oxidized cellulose, compression, and suturing were used as local hemostatic measures. When hemostasis was difficult, hemorrhage was stopped using electrocautery and/or splint. For the warfarin patients, 49 scaling procedures were performed in patients with INR of 4.82 or less, and 52 periodontal surgeries were performed in patients with INR of 2.97 or less. As for periodontal surgeries, electrocautery and splint were used in 30% and 70% of cases, respectively. In the entire patient population, posttreatment hemorrhage was seen in 2 (1.3%) of the 155 periodontal treatment procedures. Scaling can be safely performed in patients on warfarin (INR <4.0) and/or antiplatelet therapy. Periodontal surgery can be performed in patients with INR less than 3.0 with proper local hemostatic procedures.

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Citations

Dec 18, 2013·The American Journal of Medicine·Michael J Wahl
Dec 2, 2011·The Journal of the American Dental Association·Denise E van DiermenIsaäc van der Waal
Jan 22, 2013·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Joel J NapeñasDenise E van Diermen
Jan 13, 2015·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Michael J WahlRajesh V Lalla
Feb 14, 2012·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Sirmahan ÇakarerCengizhan Keskin

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Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Yoshinari MorimotoKazuo Minematsu
Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Yoshinari MorimotoKazuo Minematsu
Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Yoshinari MorimotoKazuo Minematsu
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