کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3144555 1196949 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Tooth extraction in patients taking nonvitamin K antagonist oral anticoagulants
ترجمه فارسی عنوان
استخراج دندان در بیمارانی که ضد انعقاد خوراکی آنتاگونیست کیت ناتیمامین هستند
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

Background/purposeThe nonvitamin K antagonist oral anticoagulants direct-thrombin inhibitor dabigatran and the Xa inhibitors rivaroxaban and apixaban are now being used clinically. The course of the patients on these anticoagulants who underwent tooth extraction was assessed.Materials and methodsThe medical charts of these patients were investigated. Tooth extraction was performed while maintaining conventional anticoagulant therapy.ResultsTwenty-three teeth were extracted in 19 patients, including two surgical extractions. Among the 19 patients, nine patients ingested rivaroxaban, six apixaban, and four dabigatran. One patient on rivaroxaban showed persistent postoperative bleeding following two surgical extractions. Mild oozing was observed in five patients (two on rivaroxaban and three on apixaban). There was no bleeding episode in the patients on dabigatran.ConclusionThe patients on rivaroxaban with a prolonged prothrombin time value have a higher risk of bleeding, especially undergoing surgical extraction. Apixaban correlates to neither activated partial thromboplastin time nor prothrombin time values and the countermeasures should be employed based on the clinical findings.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Dental Sciences - Volume 11, Issue 1, March 2016, Pages 59–64
نویسندگان
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