Please use this identifier to cite or link to this item:
https://open.uns.ac.rs/handle/123456789/14390
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Branislav Bajkin | en_US |
dc.contributor.author | Stevan Popović | en_US |
dc.contributor.author | Srećko Selaković | en_US |
dc.date.accessioned | 2020-03-03T14:56:01Z | - |
dc.date.available | 2020-03-03T14:56:01Z | - |
dc.date.issued | 2009-05-01 | - |
dc.identifier.issn | 2782391 | en_US |
dc.identifier.uri | https://open.uns.ac.rs/handle/123456789/14390 | - |
dc.description.abstract | Purpose: To evaluate postoperative bleeding and thromboembolic complications during dental extractions in anticoagulated patients, using 2 different protocols. Patients and Methods: In total, 214 anticoagulated patients in need of simple dental extractions were randomized into 2 groups. Group A consisted of 109 patients on continuous oral anticoagulation therapy (OAT), with a mean international normalized ratio (INR) of 2.45 ± 0.54. Local hemostasis in these patients was achieved with resorbable collagen sponges, without wound suturing. Group B consisted of 105 patients on bridging therapy with low-molecular-weight heparin (nadroparin-calcium), with a mean INR of 1.26 ± 0.11 on the day of the procedure. Neither local hemostatic agents nor suturing of the wound was used in these patients. Results: Eight (7.34%) patients in group A and 5 (4.76%) patients in group B manifested postextractional bleeding, without statistical significance (χ2, Yates' = 0.253, P > .05). All cases of hemorrhage were mild and easily controlled using local hemostatic measures. None of the participants in either group experienced thromboembolic complications. Conclusions: In patients receiving OAT with an INR ≤4.0, simple dental extractions can be performed safely without interruption or modification of OAT, using local hemostatic measures. Suturing of the wound should be reserved for cases with a greater extent of surgical trauma, and when primary hemostasis is insufficient. There is no need for bridging therapy with low-molecular-weight heparin in patients undergoing minor dentoalveolar procedures, although this approach can be used in patients with major oral surgical interventions. © 2009 American Association of Oral and Maxillofacial Surgeons. | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | Journal of Oral and Maxillofacial Surgery | en_US |
dc.subject | Oral Anticoagulant Therapy | en_US |
dc.subject | tooth extraction | en_US |
dc.title | Randomized, Prospective Trial Comparing Bridging Therapy Using Low-Molecular-Weight Heparin With Maintenance of Oral Anticoagulation During Extraction of Teeth | en_US |
dc.type | Journal/Magazine Article | en_US |
dc.identifier.doi | 10.1016/j.joms.2008.12.027 | - |
dc.identifier.pmid | 67 | - |
dc.identifier.scopus | 2-s2.0-64349124745 | - |
dc.identifier.url | https://api.elsevier.com/content/abstract/scopus_id/64349124745 | - |
dc.description.version | Published | en_US |
dc.relation.lastpage | 995 | en_US |
dc.relation.firstpage | 990 | en_US |
dc.relation.issue | 5 | en_US |
dc.relation.volume | 67 | en_US |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
crisitem.author.dept | Medicinski fakultet, Katedra za stomatologiju | - |
crisitem.author.dept | Medicinski fakultet, Katedra za stomatologiju | - |
crisitem.author.parentorg | Medicinski fakultet | - |
crisitem.author.parentorg | Medicinski fakultet | - |
Appears in Collections: | MDF Publikacije/Publications |
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