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HemCon Dental Dressing effectively lowers intraoral bleeding time from extraction sites in patients on DAPT
![HemCon Dental Dressing effectively lowers intraoral bleeding time from extraction sites in patients on DAPT HemCon Dental Dressing effectively lowers intraoral bleeding time from extraction sites in patients on DAPT](https://medicaldialogues.in/h-upload/2023/07/05/750x450_213538-intraoral-bleeding.webp)
HemCon Dental Dressing effectively lowers intraoral bleeding time from extraction sites in patients on DAPT suggests a new study published in the Journal of Evidence-Based Dental Practice
Dual antiplatelet therapy (DAPT) provides additional risk reduction of ischemic events compared to aspirin monotherapy, at cost of higher bleeding risk. There are few data comparing new techniques for reducing bleeding after dental extractions in these patients.
This study investigated the effectiveness of the HemCon Dental Dressing (HDD) compared to oxidized cellulose gauze.
This randomized study included 60 patients on DAPT who required at least two dental extractions (120 procedures). Each surgical site was randomized to HDD or oxidized regenerated cellulose gauze as the local hemostatic method. Intra-oral bleeding time was measured immediately after the dental extraction and represents our main endpoint for comparison of both hemostatic agents. Prolonged bleeding, platelet reactivity measured by Multiplate Analyser (ADPtest and ASPItest) and tissue healing comparison after 7 days were also investigated.
Results
Intra-oral bleeding time was lower in HDD compared with control (2 [2-5] vs. 5 [2-8] minutes, p=0.001). Prolonged postoperative bleeding was observed in 7 cases (11.6%), all of them successfully managed with local sterile gauze pressure. More HDD treated sites presented better healing when compared with control sites [21 (36.8%) vs. 5 (8.8%), p=0.03]. There was poor correlation between platelet reactivity and intra-oral bleeding time.
In patients on DAPT, HDD resulted in a lower intra-oral bleeding time compared to oxidized cellulose gauze after dental extractions. Moreover, HDD also seems to improve healing conditions.
Reference:
Bruno Guardieiro, Marcela Alves Santos-Paul, Remo Holanda de Mendonça Furtado, Talia Dalçóquio, Rocío Salsoso, Itamara Lúcia Itagiba Neves, Ricardo Simões Neves, Cyrillo Cavalheiro Filho, Luciano Moreira Baracioli, José Carlos Nicolau. Comparison between two different local hemostatic methods for dental extractions in patients on dual antiplatelet therapy: a within-person, single-blind, randomized study, Journal of Evidence-Based Dental Practice,2023,101863,ISSN 1532-3382,https://doi.org/10.1016/j.jebdp.2023.101863.
(https://www.sciencedirect.com/science/article/pii/S1532338223000416)
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: editorial@medicaldialogues.in. Contact no. 011-43720751