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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
Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751