Dinkova А., Vladimirova-Kitova L.*, Daskalov H.
Medical University – Plovdiv, Faculty of Dental Medicine, Department of Oral Surgery
Medical University – Plovdiv, Clinic of Cardiology
The risk of excessive bleeding often prompts physicians to interrupt the antiplatelet agents as Acetilsalicilic acid before dental extractions which puts patients at risk of adverse thrombotic events.
Aim of this study is to evaluate the risk of bleeding during dental extractions in patients with continued antiplatelet therapy with ASA.
Material and methods: The study included 68 patients aged between 42 and 90 years, 31 men and 27 women, receiving Acetilsalicilic acid (100 mg)once daily. Patients underwent tooth extraction under local anaesthesia as no more than 3 teeth in 1 visit were extracted. Local haemostasis with gelatine sponge and/or suturing was used to control potential haemorrhage. Postoperative bleeding was observed on the 2nd, 24th, 48th hour and 7th day.
Results: Mild bleeding was observed most frequently in the first 30 minutes, successfully managed by local haemostasis. No major haemorrhage requiring emergency or more than local haemostasis occurred. No statistically significant difference in bleeding between the control and the working group was found.
Conclusion: Single and multiple dental extractions in patients receiving low dose Acetylsalicylic acid can be safely performed without discontinuation of the therapy with provided appropriate local haemostasis.
Keywords: antiplatelet, bleeding, tooth extraction, local haemostasis