DENTAL IMPLICATIONS OF THE NEW ORAL ANTICOAGULANTS
Patients treated with anticoagulants drugs have raised various issues between general dentists who have to balance between the bleeding risk and the thromboembolic risk. Objectives: The purpose of these paper is to review the new oral anticoagulants and to evaluate the implications referred to den...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Romanian Society of Oral Rehabilitation
2016-01-01
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| Series: | Romanian Journal of Oral Rehabilitation |
| Subjects: | |
| Online Access: | http://www.rjor.ro/dental-implications-of-the-new-oral-anticoagulants/?lang=ro |
| _version_ | 1831767382442377216 |
|---|---|
| author | Cringuta Paraschiv Irina Esanu Rodica Ghiuru Paloma Manea Dragos Munteanu Cristina Maria Gavrilescu |
| author_facet | Cringuta Paraschiv Irina Esanu Rodica Ghiuru Paloma Manea Dragos Munteanu Cristina Maria Gavrilescu |
| author_sort | Cringuta Paraschiv |
| collection | DOAJ |
| description | Patients treated with anticoagulants drugs have raised various issues between general dentists
who have to balance between the bleeding risk and the thromboembolic risk. Objectives: The purpose of these
paper is to review the new oral anticoagulants and to evaluate the implications referred to dental care. Methods:
The primarily literature was consulted from product monographs and the medical literature in the electronic
database through PubMed and Medscape. Results: Newer oral anticoagulants are associated with less bleeding
than warfain. Most authors agree that the thromboembolic risk due to withdrawal of oral anticoagulants
outweighs the risk of bleeding and in most of the cases they recommend the dental procedures without
discontinuing the doses. Additionally, most bleeding complications can be controlled with local haemostatic
measures. Conclusion: Dental management in patients under new oral anticoagulants is safer and easier because
of their predictable and stable anticoagulant effect, less hemorrhage risk and lower drug interaction. |
| first_indexed | 2024-12-22T06:40:13Z |
| format | Article |
| id | doaj.art-6f96213b838446ef84b1fcdd5afea560 |
| institution | Directory Open Access Journal |
| issn | 2066-7000 2601-4661 |
| language | English |
| last_indexed | 2024-12-22T06:40:13Z |
| publishDate | 2016-01-01 |
| publisher | Romanian Society of Oral Rehabilitation |
| record_format | Article |
| series | Romanian Journal of Oral Rehabilitation |
| spelling | doaj.art-6f96213b838446ef84b1fcdd5afea5602022-12-21T18:35:26ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612016-01-01743036DENTAL IMPLICATIONS OF THE NEW ORAL ANTICOAGULANTSCringuta Paraschiv0Irina Esanu1Rodica Ghiuru2Paloma Manea3Dragos Munteanu4Cristina Maria Gavrilescu5"Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dental Medicine, The Internal Medical Clinic of the Clinical Hospital CF Iasi"Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dental Medicine, The Internal Medical Clinic of the Clinical Hospital CF Iasi"Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dental Medicine, The Internal Medical Clinic of the Clinical Hospital CF Iasi"Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dental Medicine, The Internal Medical Clinic of the Clinical Hospital CF Iasi"Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dental Medicine, The Internal Medical Clinic of the Clinical Hospital CF Iasi"Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dental Medicine, The Internal Medical Clinic of the Clinical Hospital CF IasiPatients treated with anticoagulants drugs have raised various issues between general dentists who have to balance between the bleeding risk and the thromboembolic risk. Objectives: The purpose of these paper is to review the new oral anticoagulants and to evaluate the implications referred to dental care. Methods: The primarily literature was consulted from product monographs and the medical literature in the electronic database through PubMed and Medscape. Results: Newer oral anticoagulants are associated with less bleeding than warfain. Most authors agree that the thromboembolic risk due to withdrawal of oral anticoagulants outweighs the risk of bleeding and in most of the cases they recommend the dental procedures without discontinuing the doses. Additionally, most bleeding complications can be controlled with local haemostatic measures. Conclusion: Dental management in patients under new oral anticoagulants is safer and easier because of their predictable and stable anticoagulant effect, less hemorrhage risk and lower drug interaction.http://www.rjor.ro/dental-implications-of-the-new-oral-anticoagulants/?lang=roapixabandabigatrandental proceduresoral bleedingrivaroxaban |
| spellingShingle | Cringuta Paraschiv Irina Esanu Rodica Ghiuru Paloma Manea Dragos Munteanu Cristina Maria Gavrilescu DENTAL IMPLICATIONS OF THE NEW ORAL ANTICOAGULANTS Romanian Journal of Oral Rehabilitation apixaban dabigatran dental procedures oral bleeding rivaroxaban |
| title | DENTAL IMPLICATIONS OF THE NEW ORAL ANTICOAGULANTS |
| title_full | DENTAL IMPLICATIONS OF THE NEW ORAL ANTICOAGULANTS |
| title_fullStr | DENTAL IMPLICATIONS OF THE NEW ORAL ANTICOAGULANTS |
| title_full_unstemmed | DENTAL IMPLICATIONS OF THE NEW ORAL ANTICOAGULANTS |
| title_short | DENTAL IMPLICATIONS OF THE NEW ORAL ANTICOAGULANTS |
| title_sort | dental implications of the new oral anticoagulants |
| topic | apixaban dabigatran dental procedures oral bleeding rivaroxaban |
| url | http://www.rjor.ro/dental-implications-of-the-new-oral-anticoagulants/?lang=ro |
| work_keys_str_mv | AT cringutaparaschiv dentalimplicationsoftheneworalanticoagulants AT irinaesanu dentalimplicationsoftheneworalanticoagulants AT rodicaghiuru dentalimplicationsoftheneworalanticoagulants AT palomamanea dentalimplicationsoftheneworalanticoagulants AT dragosmunteanu dentalimplicationsoftheneworalanticoagulants AT cristinamariagavrilescu dentalimplicationsoftheneworalanticoagulants |