International normalized ratio in extractive dental surgery in patients treated with oral anticoagulants

Dimova, Cena and Janev, Edvard and Andonovska, Biljana (2005) International normalized ratio in extractive dental surgery in patients treated with oral anticoagulants. In: 10th Congress of the Balkan Stomatological Society, 3-6 May 2005, Belgrade, Serbia.

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Abstract

The aim of our investigation was to evaluate the incidence of postoperative bleeding in patients treated with oral anticoagulant medication who underwent dental extractions without interruption of the treatment and to analyze the incidence of postoperative bleeding according to the International Normalized Ratio (INR) value. The 60 patients who underwent 78 dental extractions were divided into four groups: Group 1 with INRs of 1.5-1.99, Group 2 with INRs of 2-2.49, Group 3 with INRs of 2.5-2.99 and Group 4 with INRs >3. The INR was measured on the day of the procedure. Local haemostasis was carried out with gelatin sponge and multiple silk sutures. Of the 60 patients, 6 presented with postoperative bleeding (10%). The incidence of postoperative bleeding was not significantly different among the five groups. The value of the INR at the therapeutic dose did not significantly influence the incidence of postoperative bleeding. Thus, dental extractions can be performed without modification of oral anticoagulant treatment. Local haemostasis with gelatin sponge and sutures appears to be sufficient to prevent postoperative bleeding.

Item Type: Conference or Workshop Item (Poster)
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Cena Dimova
Date Deposited: 12 Dec 2012 15:18
Last Modified: 30 Sep 2013 14:55
URI: http://eprints.ugd.edu.mk/id/eprint/3459

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