Int J Oral Biol.  2015 Sep;40(3):147-150. 10.11620/IJOB.2015.40.3.147.

Evaluation of Bleeding After Denal Extraction in Patients Taking Single Antiplatelet Treatment

• Kim JJ
• Kim HK

• KMID: 2068545
• DOI: http://doi.org/10.11620/IJOB.2015.40.3.147

Abstract

The purpose of this study was to evaluate the effect of single antiplatelet treatment on delayed bleeding, in patients undergoing dental extraction. A total of 154 teeth were extracted in 94 patients with ongoing antiplatelet treatment, who were taking single antiplatelet of either aspirin or clopidogrel. All patients underwent simple dental extraction; local hemostasis was performed with gauze-biting, suturing, and/or application of a local hemostatic agent. Delayed bleeding was recorded in 5 teeth out of a total of 154 teeth after extraction, the incidence of postoperative delayed bleeding being 3.2%. The bleeding was controlled by the patients themselves, through application of pressure with additional gauze-biting. No one visited the doctor or emergency room for hemostasis. These results confirmed that patients taking single antiplatelet drugs may have teeth extracted safely without interruption of the antiplatelet treatment.

Keyword

single antiplatelet; aspirin; clopidogrel; extraction

MeSH Terms

Aspirin
Emergency Service, Hospital
Hemorrhage*
Hemostasis
Humans
Incidence
Platelet Aggregation Inhibitors
Tooth
Aspirin
Platelet Aggregation Inhibitors