J Korean Assoc Oral Maxillofac Surg.  2009 Dec;35(6):426-430.

Proposal for Pretreatment of Patients in Antiplatelet Therapy Requiring Minor Oral Surgery

• Choi JW
• Choi SK
• Kim NK
• Choi EY
• Cha IH
• Kim HJ

Abstract

PURPOSE
Many patients in anti-platelet therapy have been consulted for bleeding risks before minor oral surgery. However, there has not been an established pretreatment protocol for treating these patients. The purpose of this study is to make a protocol for the preoperative management for patients in anti-platelet therapy.
PATIENTS AND METHODS
The existed consultation pattern of patients was examined in the Department of Oral and Maxillofacial Surgery, Yonsei Dental Hospital. Based on the observation, a protocol including classification of medical status of patients and the type of oral surgery in need was introduced. This protocol had been performed for 6 months. RESULT: Following this protocol, the frequency of consultation for bleeding risk was decreased. The number of minor oral surgeries with concurrent anti-platelet therapy was increased. There was no severe bleeding event observed among minor oral surgeries that were performed while maintaining anti-platelet therapy.
CONCLUSION
This protocol can be used as a guideline for clinical practice of patients in anti-platelet therapy requiring minor oral surgery.

Keyword

anti-platelet therapy; surgery; bleeding; aspirin; consultation

MeSH Terms

Aspirin
Hemorrhage
Humans
Surgery, Oral
Aspirin