Direct oral anticoagulants in oral surgery: a prospective cohort
Carregando...
Data
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal de Minas Gerais
Descrição
Tipo
Artigo de periódico
Título alternativo
Primeiro orientador
Membros da banca
Resumo
BACKGROUND: Quantitative assessment of bleeding in dental extractions is rarely reported in the literature. The assessment of bleeding might provide additional evidence to predict and minimize postoperative outcomes. The aim of this study was to evaluate the pattern of bleeding in individuals taking direct oral anticoagulants (DOACs) submitted to dental extractions.
METHODS: Intraoperative bleeding was evaluated by using total collected bleeding corrected by absorbance reading (dental bleeding score). To monitoring bleeding episodes from the day of surgery, this cohort was followed up until the seventh postoperative day.
RESULTS: Forty-five procedures were performed in three comparative groups, patients under DOACs, individuals taking vitamin K antagonists (VKAs) and without anticoagulant therapy. No bleeding events were observed in procedures carried out in individuals of the DOAC group. Additional hemostatic measures were required in two procedures in the VKA group and one in the non-anticoagulated group. The dental bleeding scores obtained for the DOAC and VKA groups were similar.
CONCLUSIONS: Our data suggest that the DOAC therapy did not result in increased bleeding outcomes in this sample.
Abstract
Assunto
Hemorrhage, Anticoagulants, Oral surgical procedures, Tooth extraction, Postoperative hemorrhage, Evaluation study
Palavras-chave
Anticoagulants, Oral surgical procedures, Tooth extraction, Postoperative hemorrhage
Citação
Curso
Endereço externo
https://pubmed.ncbi.nlm.nih.gov/32698567/