Oral surgical procedures during anticoagulant therapy

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

Research output: Contribution to journalArticle

8 Scopus citations

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 (US)
Pages (from-to)727+681-683
JournalHarefuah
Volume130
Issue number10
StatePublished - Jan 1 1996
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Oral surgical procedures during anticoagulant therapy'. Together they form a unique fingerprint.

  • Cite this

    Blinder, D., Martinowitz, U., Ardekian, L., Peleg, M., & Taicher, S. (1996). Oral surgical procedures during anticoagulant therapy. Harefuah, 130(10), 727+681-683.