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, Vol. 119, No. 1, 01.01.2015, p. 17-9.

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@article{f8980ef346244305a7d95b5308c9306b,
title = "Lack of evidence for increased postoperative bleeding risk for dental osteotomy with continued aspirin therapy",
abstract = "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.",
author = "Henning Hanken and Ferdinand Tieck and Lan Kluwe and Ralf Smeets and Max Heiland and Clarissa Precht and Marc Eichhorn and Wolfgang Eichhorn",
note = "Copyright {\textcopyright} 2015 Elsevier Inc. All rights reserved.",
year = "2015",
month = jan,
day = "1",
doi = "10.1016/j.oooo.2014.08.016",
language = "English",
volume = "119",
pages = "17--9",
journal = "OR SURG OR MED OR PA",
issn = "2212-4403",
publisher = "Elsevier USA",
number = "1",

}

RIS

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 -