According to a recent study, antithrombotic medications may cause more bleeding following tooth extraction. Oral cleanliness, age, and the number of teeth extracted all have an impact on this outcome.
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| Photo: Tooth Extraction Procedure | InStyleHealth |
A retrospective case-control study was undertaken with
200 patients who underwent tooth extractions, half of whom were using
antithrombotic medications. Following 30 minutes of mechanical compression with
a gauze, postoperative bleeding was classified as oozing or significant hemorrhage.
Patients who were administered antithrombotic medicine
and controls, respectively, experienced bleeding in 27 percent and 9% of the
time (p0.01). Patients receiving antithrombotic medications had a higher
relative amount of bleeding (p=0.028).
After that, the researchers used logistic regression
analysis to find potential risk variables for post-extraction bleeding in
antithrombotic drug patients. After controlling for covariates, age (OR, 2.824,
95 percent confidence interval [CI], 1.073–7.434; p=0.036) and the number of extracted
teeth (OR, 5.268, 95 percent confidence interval [CI], 1.358–20.437) were
observed to increase the likelihood of bleeding incidents.
Although these increases in risk, bleeding was still
uncommon. “The current analysis offered clinical evidence to support the
consensus that tooth extraction without ceasing anticoagulant or antiplatelet
medicines is safe and feasible,” the researchers wrote.
"Of course, prospective studies with a bigger
sample size are required to further investigate the risk factors of tooth
extraction bleeding in anticoagulant individuals," researchers noted.
Source: J Dent Sci 2021;doi:10.1016/j.jds.2021.10.005