DENTAL EXTRACTION FOR PATIENTS ON ORAL ANTICOAGULANT-THERAPY

被引:64
作者
MARTINOWITZ, U
MAZAR, AL
TAICHER, S
VARON, D
GITEL, SN
RAMOT, B
RAKOCZ, M
机构
[1] The Hematology Institute, Tel Hashomer
[2] The Department of Oral and Maxillofacial Surgery, The Chaim Sheba Medical Center. Tel Hashomer
[3] Division of Pediatric, The Chaim Sheba Medical Center. Tel Hashomer
[4] Hospital Dentistry, The Chaim Sheba Medical Center. Tel Hashomer
来源
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS | 1990年 / 70卷 / 03期
关键词
D O I
10.1016/0030-4220(90)90139-J
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Dental extraction in patients receiving long-term oral anticoagulant therapy is a controversial issue. Continuation of anticoagulation exposes the patient to serious hemorrhage, whereas cessation of therapy increases the risk of thromboembolism. Forty patients treated by coumarin underwent 63 tooth extractions, without a change in the therapeutic protocol of anticoagulation. The biologic adhesive Beriplast was used successfully to achieve local hemostasis at the site of the surgical wound. Apart from one patient who had mild oozing, there were no incidences of postsurgical hemorrhage. © 1990.
引用
收藏
页码:274 / 277
页数:4
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