Bleeding assessment in oral surgery: a cohort study comparing individuals on anticoagulant therapy and a non-anticoagulated group

Publication date: Available online 7 February 2019

Source: Journal of Cranio-Maxillofacial Surgery

Author(s): Amanda Leal Rocha, Sicilia Rezende de Oliveira, Alessandra Figueiredo Souza, Denise Vieira Travassos, Lucas Guimarães Abreu, Daniel Dias Ribeiro, Tarcília Aparecida Silva

Abstract

Some prospective studies have been designed specifically to investigate perioperative bleeding in dental surgery. The quantitative assessment of intraoperative blood loss can be useful for indicating the real risk of bleeding complications, especially in medically compromised individuals. The aim of this study was to evaluate the pattern of bleeding in individuals under vitamin K antagonist (VKA) therapy and non-anticoagulated individuals submitted to dental extractions. Perioperative bleeding was evaluated by using a total collected bleeding corrected by absorbance reading (dental bleeding score). 138 procedures were performed. When the perioperative dental bleeding score was correlated with the number of extracted teeth, the quantity of bleeding was found to be directly proportional to the procedure. Extractions of two or more teeth presented higher scores than single extractions (p = 0.003). In a comparative analysis between the VKA and non-anticoagulated groups, no significant difference in the scores was found. The previous history of complications in dental procedures (p = 0.001) and the use of additional hemostatic measures were higher in the VKA group (p = 0.017). VKA therapy did not impact significantly the volume of blood lost during dental extractions. Perioperative bleeding assessment might be a useful parameter for evaluating patients under antithrombotic treatment.

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