Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 7, Issue 1 (3-2018)
J Emerg Health Care 2018, 7(1): 1-6 |
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Pakravan A, Bamdadian T, Akbari P, Alimirzaei A, Samiei A, Babaei Hatkehloui M et al . Evaluation of the effects of anticoagulant drugs on the rate of bleeding of oral surgeries and warfarin alternatives. J Emerg Health Care 2018; 7 (1) :1-6
URL: http://intjmi.com/article-1-295-en.html
URL: http://intjmi.com/article-1-295-en.html
Amirhosein Pakravan 
, Tahmine Bamdadian , Pouya Akbari , Arash Alimirzaei , Ali Samiei , Mahdi Babaei Hatkehloui , Mahdi Taghian *
, Tahmine Bamdadian , Pouya Akbari , Arash Alimirzaei , Ali Samiei , Mahdi Babaei Hatkehloui , Mahdi Taghian *
Department of oral and maxillofacial surgery, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
Abstract: (10593 Views)
Introduction: Today, with advances in the treatment of cardiovascular patients such as intravascular stents, cardiac valves and intracavitary pacemakers and cardiac transplantation, many cardiovascular patients should use anticoagulants such as warfarin, aspirin, Plavix and Sosix, Ticlopidine and other drugs. The aim of this study was to investigate the effects of coagulation drugs on the rate of bleeding of oral surgeries and warfarin alternative. Methods: For access to studies on anticoagulant drugs and their effect on the bleeding of oral surgery in heart patients, the PUBMED, MEDLINE, MAGIRAN, SID, ELMNET and GOOGLE databases have been used since 1998 to 2015. Keywords include oral surgery, anticoagulants, warfarin, dentistry and bleeding. Findings: In the investigations done on the studied articles, it seems that patients with anticoagulant drugs that are supposed to undergo minor dental surgeries do not require discontinuation, dose reduction, or even control of coagulation factors and bleeding can only be controlled by local dental procedures such as suturing, mouthwash, gel sponge. And the risk of severe complications in case of warfarin interruption and thrombosis is more than uncontrolled bleeding from the teeth. There is also no need for alternative warfarin medicines. Conclusion: The hazard of severe complications in case of warfarin interruption and thrombosis is more than uncontrolled hemorrhage from the teeth. There is also no need for alternative warfarin treatments.
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