medigraphic.com
ISSN 1870-199X (Print)
Órgano oficial de la Facultad de Odontología, UNAM

2013, Number 4

<< Back

Rev Odont Mex 2013; 17 (4)

Dental treatment in patients with anti-platelet (anti-aggregating) therapy

Cedeño MJA, Rivas RN, Tuliano CRA

Language: Spanish
References: 22
Page: 256-260
PDF size: 236.78 Kb.


ABSTRACT

Anti-platelet therapy is nowadays considered essential for those patients who are at risk to sustain strokes (cerebro-vascular events), thrombus formation, as well as in cases of coronary valvular prostheses (stents). This therapy allows prophylaxis before any possible thrombo-embolic event. Tendency to bleeding is doubtlessly one of its secondary effects. It therefore becomes relevant to be knowledgeable with consequences that might be encountered in common dental practice so as to avoid accidents and prevent post-operative bleeding (hemorrhage). The aim of the present study was to present drugs most used in this therapy, discuss their mechanism of action and to develop a defined protocol for the proper care of these patients.


REFERENCES

  1. Céspedes C. Evaluación clínica de los efectos de la terapia combinada ácido acetilsalicílico y clopidrogrel en pacientes cardiópatas durante procedimientos de cirugía bucal (Tesis especialista). Caracas. Universidad Central de Venezuela. 2009.

  2. Agustí A, López F. Antiagregantes orales en el perioperatorio, ¿mantener o retirar el tratamiento? Med Clin Barc. 2007; 128 (17): 674-675.

  3. Napeñas J, Hong C, Brennan M, Furney S, Fox P, Lockhart P. The frequency of bleeding complications after invasive dental treatment in patients receiving single and dual antiplatelet therapy. JADA. 2009; 140 (6): 690-695.

  4. Aubertin M. The patient taking antiplatelet drugs: A review with dental management considerations. Gen Dent. 2008; 56 (4): 363-369.

  5. Assayag D. Complicaciones en cirugía oral menor en pacientes bajo medicación anticoagulante (Tesis de grado). Lima. Universidad Nacional Mayor de San Marcos. 2008.

  6. Brennan M, Wynn R, Miller C. Aspirin and bleending in dentristy: an update and recommendations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 104:316-323.

  7. Pototski M, Amenábar J. Dental management of patients receiving anticoagulation or antiplatelet treatment. J Oral Sci. 2007; 49 (4): 253-258.

  8. Llau J, de Andrés J, Gomar C, Gómez A, Hidalgo F, Sahagún J, Torres L. Fármacos que alteran la hemostasia y técnicas regionales anestésicas: recomendaciones de seguridad. Foro de consenso. Rev Esp Anestesiol Reanim. 2001; 48 (6): 270-278.

  9. Pedemonte C, Montini C, Castellón L. Manejo de pacientes en tratamiento con anticoagulantes orales previo a cirugía oral. Revista Odontológica Mexicana. 2005; 9 (4): 171-177.

  10. Henry R. Dental management of patients taking antiplatelet medications. Tex Dent J. 2009; 126 (7): 608-616.

  11. Shah P, Yepes J, Valenza J. Combinations of aspirin and clopidogrel for the prevention of thrombosis: implications for the dental practitioner. Gen Dent. 2007; 55 (6): 517-522.

  12. Visintini E, Contardo L, Biasotto M, Vignoletti F. Extracciones dentarias en pacientes en tratamiento con anticoagulantes: revisión de la literatura. Av Odontoestomatol. 2006; 22 (4): 241-245.

  13. Sánchez P. Manejo odontológico de pacientes con alteraciones de la hemostasia (Tesis doctoral). Granada. Universidad de Granada. 2009.

  14. Madan G, Madan S, MadanG, Madan A. Minor oral surgery without stopping dialy low-dose aspirin therapy: a study of 51 patients. J Oral Maxillofac Surg. 2005; 63: 1262-1265.

  15. Cardona-Tortajada F, Sainz-Gómez E, Figuerido-Garmendia J, Lirón A, Morte-Casabó A, Giner-Muñoz F et al. Dental extractions in patients on antiplatelet therapy. A study conducted by the oral health department of the Navarre health service (Spain). Med Oral Patol Oral Cir Bucal. 2009; 14 (11): e588-592.

  16. Morimoto Y, Niwa H, Minematsu K. Risk factors affecting postoperative hemorrhage after tooth extraction in patients receiving oral antithrombotic therapy. J Oral Maxillofac Surg. 2011; 69: 1550-1556.

  17. Morimoto Y, Niwa H, Minematsu K. Hemostatic management of tooth extractions in patients on oral antithrombotic therapy. J Oral Maxillofac Surg. 2008; 66: 51-57.

  18. Margaix M, Jiménez Y, Poveda R, Sarrión G. Cardiovascular diseases in dental practice. Practical considerations. Med Oral Patol Oral Cir Bucal. 2008; 13 (5): E296-302.

  19. Krishnan B, Shenoy N, Alexander M. Exodontia and antiplatelet therapy. J Oral Maxillofac Surg. 2008; 66: 2063-2066.

  20. Giner P. Efecto de la disfunción plaquetaria en pacientes que se encuentran bajo tratamiento con ácido acetilsalicílico quienes requieren de procedimientos de cirugía bucal (Tesis especialista). Caracas, Universidad Central de Venezuela. 2006.

  21. Van Diermen D, Aartman I, Baart J, Hoogstraten J, Van der Waal I. Dental management of patients using antithrombotic drugs: critical appraisal of existing guidelines. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 107: 616-624.

  22. Cañigral A, Silvestre F, Cañigral G, Alós Manuel, García A, Plaza A. Evaluation of bleeding risk and measurement methods in dental patients. Med Oral Patol Oral Cir Bucal. 2010; 15 (6): e863-868.




2020     |     www.medigraphic.com