Indian Journal of Dental Research

ORIGINAL RESEARCH
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


K George Varghese1, Sudheesh Manoharan2, Mohan Sadhanandan1 
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

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.


How to cite this article:
Varghese K G, Manoharan S, Sadhanandan M. Evaluation of bleeding following dental extraction in patients on long-term antiplatelet therapy: A clinical trial.Indian J Dent Res 2015;26:252-255


How to cite this URL:
Varghese K G, Manoharan S, Sadhanandan M. Evaluation of bleeding following dental extraction in patients on long-term antiplatelet therapy: A clinical trial. Indian J Dent Res [serial online] 2015 [cited 2020 Apr 10 ];26:252-255
Available from: http://www.ijdr.in/article.asp?issn=0970-9290;year=2015;volume=26;issue=3;spage=252;epage=255;aulast=Varghese;type=0