Anticoagulation Use prior to Common Dental Procedures: A Systematic Review
Joint Authors
Nasr, Samer
Chahine, Johnny
Khoudary, Marwan N.
Source
Cardiology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-06-02
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Currently, the number of patients on oral anticoagulation is increasing.
There is a paucity of data regarding maintaining oral anticoagulation (especially novel oral anticoagulants) around the time of specific dental procedures.
A dentist has three options: either to stop anticoagulation, to continue it, or to bridge with heparin.
A systematic review of 10 clinical trials was conducted to address this issue.
It was found that continuing anticoagulation during dental procedures did not increase the risk of bleeding in most trials.
Although none of the studies reported a thromboembolic event after interruption of anticoagulation, the follow-up periods were short and inconsistent, and the heightened thromboembolic risk when stopping anticoagulation is well known in the literature.
Heparin bridging was associated with an increased bleeding incidence.
We recommend maintaining oral anticoagulation with vitamin K antagonists and novel oral anticoagulants for the vast majority of dental procedures along with the use of local hemostatic agents.
American Psychological Association (APA)
Chahine, Johnny& Khoudary, Marwan N.& Nasr, Samer. 2019. Anticoagulation Use prior to Common Dental Procedures: A Systematic Review. Cardiology Research and Practice،Vol. 2019, no. 2019, pp.1-13.
https://search.emarefa.net/detail/BIM-1146130
Modern Language Association (MLA)
Chahine, Johnny…[et al.]. Anticoagulation Use prior to Common Dental Procedures: A Systematic Review. Cardiology Research and Practice No. 2019 (2019), pp.1-13.
https://search.emarefa.net/detail/BIM-1146130
American Medical Association (AMA)
Chahine, Johnny& Khoudary, Marwan N.& Nasr, Samer. Anticoagulation Use prior to Common Dental Procedures: A Systematic Review. Cardiology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-13.
https://search.emarefa.net/detail/BIM-1146130
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146130