ASSESING THE BLEEDING RISK IN PATIENTS USING DIRECT ORAL ANTICOAGULANTS SUBMITTED TO DENTAL SURGERY PROCEDURES: A SYSTEMATIC REVIEW
Aim of the study: The management of patients undergoing chronic oral anticoagulation raises concerns regarding the postoperative bleeding risk. In the last few years, new oral anticoagulants were released on the market, but the operative protocols for dental surgery interventions are still not well...
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| Format: | Article |
| Language: | English |
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Romanian Society of Oral Rehabilitation
2018-11-01
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| Series: | Romanian Journal of Oral Rehabilitation |
| Subjects: | |
| Online Access: | http://www.rjor.ro/assesing-the-bleeding-risk-in-patients-using-direct-oral-anticoagulants-submitted-to-dental-surgery-procedures-a-systematic-review/?lang=ro |
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| author | Carmen Gabriela Stelea Emilia Dîmbu Sorin Andrian Oana Elena Ciurcanu Alexandra Lorina Stelea Cristina Bologa |
| author_facet | Carmen Gabriela Stelea Emilia Dîmbu Sorin Andrian Oana Elena Ciurcanu Alexandra Lorina Stelea Cristina Bologa |
| author_sort | Carmen Gabriela Stelea |
| collection | DOAJ |
| description | Aim of the study: The management of patients undergoing chronic oral anticoagulation raises concerns regarding the postoperative bleeding risk. In the last few years, new oral anticoagulants were released on the market, but the operative protocols for dental surgery interventions are still not well established. The purpose of this review is to summarize the articles` evidence that evaluate the risk of bleeding with the use of Direct Oral Anticoagulants (DOACs). Material and methods: A systematic literature search was conducted from January 2014 to June 2018, in PubMed, Science Direct, Web of Science and Scopus databases. Results: Six articles met the inclusion criteria, all being observational studies. Conclusions showed that dental surgery could be performed without cessation of the DOACs, with a low incidence of bleeding complications, by applying local haemostatic measures (suturing, haemostatic agents, compression with sterile gauzes soaked in 5% tranexamic acid or the use of mouthwash with 5% tranexamic acid). |
| first_indexed | 2024-04-12T19:16:06Z |
| format | Article |
| id | doaj.art-b122512a7cff46f5af4a068373ce0665 |
| institution | Directory Open Access Journal |
| issn | 2066-7000 2601-4661 |
| language | English |
| last_indexed | 2024-04-12T19:16:06Z |
| publishDate | 2018-11-01 |
| publisher | Romanian Society of Oral Rehabilitation |
| record_format | Article |
| series | Romanian Journal of Oral Rehabilitation |
| spelling | doaj.art-b122512a7cff46f5af4a068373ce06652022-12-22T03:19:45ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612018-11-01103103108ASSESING THE BLEEDING RISK IN PATIENTS USING DIRECT ORAL ANTICOAGULANTS SUBMITTED TO DENTAL SURGERY PROCEDURES: A SYSTEMATIC REVIEWCarmen Gabriela Stelea0Emilia Dîmbu1Sorin Andrian2Oana Elena Ciurcanu3Alexandra Lorina Stelea 4Cristina Bologa5Lecturer, “Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Oral and Maxillo-facial Surgery Department PhD Student, “Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Odontology and PeriodontologyProfessor, “Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Odontology and PeriodontologyLecturer, “Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Oral and Maxillo-facial Surgery Department 5th Year Student, “Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of DentistryAssistant Professor, “Gr. T. Popa" U.M.Ph. - Iași, Romania, Faculty of General Medicine, Department of Internal Medicine Aim of the study: The management of patients undergoing chronic oral anticoagulation raises concerns regarding the postoperative bleeding risk. In the last few years, new oral anticoagulants were released on the market, but the operative protocols for dental surgery interventions are still not well established. The purpose of this review is to summarize the articles` evidence that evaluate the risk of bleeding with the use of Direct Oral Anticoagulants (DOACs). Material and methods: A systematic literature search was conducted from January 2014 to June 2018, in PubMed, Science Direct, Web of Science and Scopus databases. Results: Six articles met the inclusion criteria, all being observational studies. Conclusions showed that dental surgery could be performed without cessation of the DOACs, with a low incidence of bleeding complications, by applying local haemostatic measures (suturing, haemostatic agents, compression with sterile gauzes soaked in 5% tranexamic acid or the use of mouthwash with 5% tranexamic acid).http://www.rjor.ro/assesing-the-bleeding-risk-in-patients-using-direct-oral-anticoagulants-submitted-to-dental-surgery-procedures-a-systematic-review/?lang=rodirect oral anticoagulantsdental surgeryrisk of bleedingdental extractionimplant |
| spellingShingle | Carmen Gabriela Stelea Emilia Dîmbu Sorin Andrian Oana Elena Ciurcanu Alexandra Lorina Stelea Cristina Bologa ASSESING THE BLEEDING RISK IN PATIENTS USING DIRECT ORAL ANTICOAGULANTS SUBMITTED TO DENTAL SURGERY PROCEDURES: A SYSTEMATIC REVIEW Romanian Journal of Oral Rehabilitation direct oral anticoagulants dental surgery risk of bleeding dental extraction implant |
| title | ASSESING THE BLEEDING RISK IN PATIENTS USING DIRECT ORAL ANTICOAGULANTS SUBMITTED TO DENTAL SURGERY PROCEDURES: A SYSTEMATIC REVIEW |
| title_full | ASSESING THE BLEEDING RISK IN PATIENTS USING DIRECT ORAL ANTICOAGULANTS SUBMITTED TO DENTAL SURGERY PROCEDURES: A SYSTEMATIC REVIEW |
| title_fullStr | ASSESING THE BLEEDING RISK IN PATIENTS USING DIRECT ORAL ANTICOAGULANTS SUBMITTED TO DENTAL SURGERY PROCEDURES: A SYSTEMATIC REVIEW |
| title_full_unstemmed | ASSESING THE BLEEDING RISK IN PATIENTS USING DIRECT ORAL ANTICOAGULANTS SUBMITTED TO DENTAL SURGERY PROCEDURES: A SYSTEMATIC REVIEW |
| title_short | ASSESING THE BLEEDING RISK IN PATIENTS USING DIRECT ORAL ANTICOAGULANTS SUBMITTED TO DENTAL SURGERY PROCEDURES: A SYSTEMATIC REVIEW |
| title_sort | assesing the bleeding risk in patients using direct oral anticoagulants submitted to dental surgery procedures a systematic review |
| topic | direct oral anticoagulants dental surgery risk of bleeding dental extraction implant |
| url | http://www.rjor.ro/assesing-the-bleeding-risk-in-patients-using-direct-oral-anticoagulants-submitted-to-dental-surgery-procedures-a-systematic-review/?lang=ro |
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