Oral surgical procedures during anticoagulant therapy

D. Blinder, U. Martinowitz, L. Ardekian, M. Peleg, S. Taicher

Research output: Contribution to journalArticle

Abstract

Minor oral surgery, in patients being treated with anticoagulant therapy, constitutes a problem for the oral and maxillofacial surgeon. 77 patients getting coumarin underwent 168 oral surgical procedures (tooth extraction, apicoectomy, crown-lengthening, excision of lesions) without lowering the dose of anticoagulant. Local hemostasis was achieved in all cases by silk suture. For tooth extraction gelfoam was used as well. In 12 patients who presented with postoperative bleeding, it was controlled in all by gauze pressure with tranexamic acid and/or biologic glue and/or surgical splinting. Postoperative bleeding was not correlated with the international normalized ratio (INR), but with degree of local inflammation. The study shows that interruption of anticoagulant therapy in such cases is not justified, and the use of tranexamic acid or biological glue can control bleeding.

Original languageEnglish
JournalHarefuah
Volume130
Issue number10
StatePublished - May 15 1996
Externally publishedYes

Fingerprint

Oral Surgical Procedures
Anticoagulants
Tranexamic Acid
Tooth Extraction
Hemorrhage
Adhesives
Crown Lengthening
Apicoectomy
Absorbable Gelatin Sponge
Minor Surgical Procedures
International Normalized Ratio
Silk
Oral Surgery
Hemostasis
Sutures
Therapeutics
Inflammation
Pressure

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Blinder, D., Martinowitz, U., Ardekian, L., Peleg, M., & Taicher, S. (1996). Oral surgical procedures during anticoagulant therapy. Harefuah, 130(10).

Oral surgical procedures during anticoagulant therapy. / Blinder, D.; Martinowitz, U.; Ardekian, L.; Peleg, M.; Taicher, S.

In: Harefuah, Vol. 130, No. 10, 15.05.1996.

Research output: Contribution to journalArticle

Blinder, D, Martinowitz, U, Ardekian, L, Peleg, M & Taicher, S 1996, 'Oral surgical procedures during anticoagulant therapy', Harefuah, vol. 130, no. 10.
Blinder D, Martinowitz U, Ardekian L, Peleg M, Taicher S. Oral surgical procedures during anticoagulant therapy. Harefuah. 1996 May 15;130(10).
Blinder, D. ; Martinowitz, U. ; Ardekian, L. ; Peleg, M. ; Taicher, S. / Oral surgical procedures during anticoagulant therapy. In: Harefuah. 1996 ; Vol. 130, No. 10.
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