[Anticoagulants and dental extractions].
Fiche publication
Date publication
septembre 2005
Auteurs
Membres identifiés du Cancéropôle Est :
Dr BRAVETTI Pierre
Tous les auteurs :
Gaudy JF, Ankri A, Tager F, El Haddioui A, Bravetti P, Lafont A, Gogly B
Lien Pubmed
Résumé
Dental extractions in patients under platelet antiaggregant or anticoagulant therapy pose the problem of risk benefit between stopping or carrying on treatment. The difficulties of reequilibrating the INR after a heparin relay have led surgeons and cardiologists to look for alternative solutions. Different means of local haemostasis using products with haemostatic properties or not, or the use of sutures or glues, have given encouraging results but there is too much uncertainty for systematic recommendations to practicians responsible for dental extractions in these patients. The authors propose a technique which has the advantages of associating systematically different methods, making bleeding complications very unusual, without interrupting anticoagulant or antiaggregant therapy.
Référence
Arch Mal Coeur Vaiss. 2005 Sep;98(9):859-66.