Dental management of the anticoagulated patient subjected to oral surgery: narrative review [Original Version in Spanish]
DOI:
https://doi.org/10.59334/ROV.v2i39.552Keywords:
Oral surgery, anticoagulants, dental care, oral hemorrhageAbstract
Patients who are under oral anticoagulant treatment present alterations in different stages of hemostasis, which leads to medical/surgical implications and considerations during their care. Currently, there is no consensus regarding the dental management of these patients who will undergo surgical procedures, leading to clinical protocols that follow various positions, such as reducing the pharmacological intake of the anticoagulant, replacing it with heparin, and maintaining the controlled treatment. Objective: Toestablish the stomatological management of the patient who is undergoing oral anticoagulant treatment through an in depth review of the literature. Materials and Methods: A manual bibliographic review search of articles indexed to the PUBMED and EBSCO databases corresponding to the words "oral surgery", “oral bleeding” , "anticoagulants" and "dental management" was performed. Regarding the inclusion criteria, bibliographic reviews, observational studies, clinical trials, guidelines, systematic reviews and meta-analyses published between November 2005 and 2022, in English or Spanish, were considered. Conclusions: There are multiple protocols for the care of the anticoagulated patient who will undergo a minor oral surgery procedure. It is important to consider the anticoagulant used, the reason, its control, the procedure to be performed on the patient, and both intraoperative and postoperative hemostatic measures to be performed. After analyzing the above, it is noted that reducing the intake of the drug to perform the procedure may be more harmful to the patient and to the clinician, therefore it is suggested to maintain the antithrombotic treatment and carry out a correct medical/surgical management.
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