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ORIGINAL RESEARCH Table of Contents   
Year : 2015  |  Volume : 26  |  Issue : 3  |  Page : 252-255
Evaluation of bleeding following dental extraction in patients on long-term antiplatelet therapy: A clinical trial


1 Department of Oral and Maxillofacial Surgery, Government Dental College, Kottayam, India
2 Department of Maxillofacial Surgery, Meditrina Hospital, Ayathil, Kollam, Kerala, India

Correspondence Address:
Sudheesh Manoharan
Department of Maxillofacial Surgery, Meditrina Hospital, Ayathil, Kollam, Kerala
India
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Source of Support: State Board of Medical Research, Kerala, Conflict of Interest: None


DOI: 10.4103/0970-9290.162893

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Objective: The aim of this trial was to evaluate the bleeding after dental extractions among patients on uninterrupted antiplatelet therapy. Materials and Methods: A total of 190 patients under oral antiplatelet drugs requiring extraction of a single molar tooth were randomly assigned to two groups. Group A consisted of 95 patients on uninterrupted antiplatelet therapy and Group B consisted of 95 patients who have discontinued antiplatelet medication 5 days prior to extraction. The bleeding time of all patients was checked prior to extraction. The surgical procedure involved simple extraction of a single molar tooth under local anesthesia. The extraction socket was sutured with 3–0 silk. Pressure pack with gauze was given for 1 h. Bleeding after 1 h, 24 h, 48 h, and 5 days were compared between two groups. Chi-square test was used to compare the variables. P < 0.05 was taken as significant. Results: None of the patients in either group had any significant uncontrollable bleeding after extraction. Conclusion: Hence, we recommend routine single tooth extractions in patients on long-term antiplatelet medication, without interruption or alteration of their medication. Such patients do not have an increased risk of prolonged or excessive postoperative bleeding.


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