Bleeding after tooth extraction and measures for its control in patients treated with antiplatelet agents

Authors

  • Carmen Blanca Ciria González Instituto de Cardiología y Cirugía Cardiovascular. Departamento de Estomatología. La Habana, Cuba. https://orcid.org/0000-0002-0430-3370
  • Ana María Prado Mera Universidad de Ciencias Médicas de La Habana. Facultad de Estomatología “Raúl González Sánchez”. Departamento de Estomatología Integral. La Habana, Cuba. https://orcid.org/0000-0001-5203-9204
  • Mario Israel Salgado Martínez Instituto de Cardiología y Cirugía Cardiovascular. Departamento de Hematología. La Habana, Cuba. https://orcid.org/0000-0001-7277-3780
  • Leticia Espinosa González Universidad de Ciencias Médicas de La Habana. Facultad de Estomatología “Raúl González Sánchez”. Departamento de Estomatología Integral. La Habana, Cuba. https://orcid.org/0000-0003-4876-4977
  • Armando Marrero Ciria Instituto de Cardiología y Cirugía Cardiovascular. Departamento de Estomatología. La Habana, Cuba. https://orcid.org/0000-0003-1736-310X
  • María del carmen Marrero Ciria Universidad de Ciencias Médicas de La Habana. Facultad de Estomatología “Raúl González Sánchez”. Departamento de Estomatología Integral. La Habana, Cuba. https://orcid.org/0000-0003-0445-2920

Keywords:

tooth extraction, aspirin, clopidogrel, oral surgery.

Abstract

Introduction: The development of medical sciences brings with it an increase in life expectancy, together with the early detection of a large number of chronic diseases such as cerebrovascular and cardiovascular diseases, which are routinely treated with antiplatelet aggregation drugs. Knowledge on the treatment of these patients before stomatological surgical procedures constitutes a challenge in daily professional practice.

Objective: To determine the level of bleeding after tooth extraction in patients with cardiovascular and cerebrovascular disease, according to the type of antiplatelet agents and dental group, as well as the frequency of use of measures for their control.

Methods: An observational, descriptive, longitudinal and prospective study was carried out with a universe of 136 patients over 20 years of age, referred by their cardiologist, who needed dental extractions without modifying their treatment with antiplatelet agents. The variables studied were systemic disease, type of antiplatelet agent, level of bleeding, dental group treated and hemostatic method used.

Results: Half of the patients studied did not present bleeding after tooth extraction. In patients treated with aspirin or clopidogrel, 84.3% and 62.5%, respectively, had no bleeding. In those with double antiplatelet therapy, moderate bleeding prevailed with 46.3%. The incisor, canine and premolar tooth groups did not present bleeding episodes (64.1%, 51.6% and 53.3%, respectively). The most commonly used hemostatic method was cortical compression and cold thermotherapy (47.8%).

Conclusions: Half of the patients with cardiovascular and cerebrovascular diseases did not present bleeding after tooth extraction.

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Author Biographies

Carmen Blanca Ciria González, Instituto de Cardiología y Cirugía Cardiovascular. Departamento de Estomatología. La Habana, Cuba.

Departamento de Estomatología, Instituto de Cardiología

Ana María Prado Mera, Universidad de Ciencias Médicas de La Habana. Facultad de Estomatología “Raúl González Sánchez”. Departamento de Estomatología Integral. La Habana, Cuba.

Departamento de Estomatología Integral, Facultad de Estomatología

Mario Israel Salgado Martínez, Instituto de Cardiología y Cirugía Cardiovascular. Departamento de Hematología. La Habana, Cuba.

Departamento de hematología, Instiuto de Cardiología

Leticia Espinosa González, Universidad de Ciencias Médicas de La Habana. Facultad de Estomatología “Raúl González Sánchez”. Departamento de Estomatología Integral. La Habana, Cuba.

Departamento de Estomatología Integral, Facultad de Estomatología

Armando Marrero Ciria, Instituto de Cardiología y Cirugía Cardiovascular. Departamento de Estomatología. La Habana, Cuba.

 

Departamento de Estomatología, Instituto de Cardiología

María del carmen Marrero Ciria, Universidad de Ciencias Médicas de La Habana. Facultad de Estomatología “Raúl González Sánchez”. Departamento de Estomatología Integral. La Habana, Cuba.

Departamento de Estomatología Integral, Facultad de Estomatología

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Published

2022-12-18

How to Cite

1.
Ciria González CB, Prado Mera AM, Salgado Martínez MI, Espinosa González L, Marrero Ciria A, Marrero Ciria M del carmen. Bleeding after tooth extraction and measures for its control in patients treated with antiplatelet agents. Rev Cubana Estomatol [Internet]. 2022 Dec. 18 [cited 2025 Feb. 5];59(4):e4352. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/4352

Issue

Vol. 59 No. 4 (2022): OCT- DEC

Section

Research Article

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