Lack of evidence for increased postoperative bleeding risk for dental osteotomy with continued aspirin therapy
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Lack of evidence for increased postoperative bleeding risk for dental osteotomy with continued aspirin therapy. / Hanken, Henning; Tieck, Ferdinand; Kluwe, Lan; Smeets, Ralf; Heiland, Max; Precht, Clarissa; Eichhorn, Marc; Eichhorn, Wolfgang.
in: OR SURG OR MED OR PA, Jahrgang 119, Nr. 1, 01.01.2015, S. 17-9.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Lack of evidence for increased postoperative bleeding risk for dental osteotomy with continued aspirin therapy
AU - Hanken, Henning
AU - Tieck, Ferdinand
AU - Kluwe, Lan
AU - Smeets, Ralf
AU - Heiland, Max
AU - Precht, Clarissa
AU - Eichhorn, Marc
AU - Eichhorn, Wolfgang
N1 - Copyright © 2015 Elsevier Inc. All rights reserved.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - OBJECTIVE: Dental osteotomy, the removal of an impacted, ankylosed, or severely destroyed tooth requiring an osteotomy, is more invasive than other minor dental procedures and therefore also has a higher bleeding risk. A considerable number of patients under antiplatelet therapy interrupt their therapy perioperatively, which, however, increases the risk of thromboembolism.STUDY DESIGN: This retrospective study assessed postoperative bleeding incidence for a total of 297 dental osteotomies with continued aspirin therapy, compared with that of 179 similar procedures on patients who were not on any anticoagulation or anti-platelet therapy. All procedures were carried out on an outpatient basis.RESULTS: Postoperative bleeding event was rare in both groups, 5 (1.7%) and 2 (1.1%), respectively, and the difference was not significant (P = .7).CONCLUSIONS: Continued aspirin therapy in patients undergoing dental osteotomies has no effect on the incidence of postoperative bleeding and should not be interrupted.
AB - OBJECTIVE: Dental osteotomy, the removal of an impacted, ankylosed, or severely destroyed tooth requiring an osteotomy, is more invasive than other minor dental procedures and therefore also has a higher bleeding risk. A considerable number of patients under antiplatelet therapy interrupt their therapy perioperatively, which, however, increases the risk of thromboembolism.STUDY DESIGN: This retrospective study assessed postoperative bleeding incidence for a total of 297 dental osteotomies with continued aspirin therapy, compared with that of 179 similar procedures on patients who were not on any anticoagulation or anti-platelet therapy. All procedures were carried out on an outpatient basis.RESULTS: Postoperative bleeding event was rare in both groups, 5 (1.7%) and 2 (1.1%), respectively, and the difference was not significant (P = .7).CONCLUSIONS: Continued aspirin therapy in patients undergoing dental osteotomies has no effect on the incidence of postoperative bleeding and should not be interrupted.
U2 - 10.1016/j.oooo.2014.08.016
DO - 10.1016/j.oooo.2014.08.016
M3 - SCORING: Journal article
C2 - 25442244
VL - 119
SP - 17
EP - 19
JO - OR SURG OR MED OR PA
JF - OR SURG OR MED OR PA
SN - 2212-4403
IS - 1
ER -