Dental extraction can be performed safely in patients on aspirin monotherapy
Dental extraction can be performed safely in patients on aspirin monotherapy suggests a new study published in the Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology.
A study was done to determine the risk of bleeding after minor extraction in patients on different antiplatelet therapy (APT) regimens. A search was conducted using PubMed and Google Scholar. Thirty-five papers were included in the systematic review, of which 23 papers provided the requisite information for meta-analysis. Subgroups were created based on the controls, as follows: (1) no control, (2) healthy control, and (3) interrupted APT control. In a meta-analysis, the studies were further subdivided into immediate and delayed bleeding. Results: No immediate or delayed bleeding risk was found in patients treated with aspirin vs healthy controls . A higher immediate bleeding was recorded for patients on single nonaspirin APT vs those in the healthy population. A high risk of bleeding was recorded in patients receiving dual APT compared with healthy controls for immediate and delayed bleeding. Dual APT continuation showed a higher risk of immediate bleeding (RR = 2.13) than interrupted APT, but the difference was insignificant (P = .07). Dental extraction can be performed safely in patients on aspirin monotherapy. In contrast, patients receiving dual APT should be considered at risk for immediate and continued bleeding.
Jumana AlAgil, Ziyad AlDaamah, Assad Khan, Omar Omar. Risk of postoperative bleeding after dental extraction in patients on antiplatelet therapy: systematic review and meta-analysis,Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 2023, ISSN 2212-4403. https://doi.org/10.1016/j.oooo.2023.10.006 (https://www.sciencedirect.com/science/article/pii/S2212440323006880)
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Jumana AlAgil, Ziyad AlDaamah, Assad Khan, Omar Omar, Dental, extraction, performed, safely, patient, aspirin, monotherapy
Disclaimer: This website is primarily for healthcare professionals. The content here does not replace medical advice and should not be used as medical, diagnostic, endorsement, treatment, or prescription advice. Medical science evolves rapidly, and we strive to keep our information current. If you find any discrepancies, please contact us at corrections@medicaldialogues.in. Read our Correction Policy here. Nothing here should be used as a substitute for medical advice, diagnosis, or treatment. We do not endorse any healthcare advice that contradicts a physician's guidance. Use of this site is subject to our Terms of Use, Privacy Policy, and Advertisement Policy. For more details, read our Full Disclaimer here.
NOTE: Join us in combating medical misinformation. If you encounter a questionable health, medical, or medical education claim, email us at factcheck@medicaldialogues.in for evaluation.