1Senior lecturer, Department of Oral and Maxillofacial Surgery, HKE ‘S S. Nijalingappa Institute of Dental Sciences & Research, Gulbarga
2Post Graduate, Department of Oral and Maxillofacial Surgery, HKE ‘S S. Nijalingappa Institute of Dental Sciences & Research, Gulbarga
3Senior Lecturer, Oral and Maxillofacial Surgery, A.M.E's dental college, Raichur
4Senior Lecturer, Oral and Maxillofacial Surgery, HKDET's Dental College and Hospital, Humnabad
5Senior lecturer, Department of Prosthodontics, HKE ‘S S. Nijalingappa Institute of Dental Sciences & Research, Gulbarga
*Address for Correspondence: Dr. Anand Mangalgi Senior lecturer, Department of Oral and Maxillofacial Surgery, HKE'S S. Nijalingappa Institute of Dental Sciences &Research, Sedam road, Gulbarga, Karnataka, India-585105 E-mail: drmangalgi@gmail.com
Online published on 21 September, 2016.
Aspirin is the most frequently used preventive and therapeutic drug for patients with cardiovascular diseases because of its antiplatelet property, which might lead to the risk of excessive bleeding during the surgery. The purpose of the study is to analyze if there is a need to discontinue low dose antiplatelet therapy before dental extraction.
The study samples consisted of 25 patients receiving 100 milligrams of aspirin daily and were scheduled to undergo dental extractions. Each patient acted as a control for himself, wherein an extraction was performed on a patient when aspirin was not discontinued and a second extraction after discontinuing aspirin for 72 hours prior the procedure. The bleeding time, clotting time, platelet count and INR were measured preoperatively at both the appointments and the amount of blood loss during the procedure was assessed.
The mean blood loss at the first appointment for the patients was 5.78 ml while it was 1.18 ml at the second appointment. The difference was statistically significant with at-value of 3.2. However, the blood loss in patients during the first appointment was easily managed using local hemostatic measures which prevent any grave bleeding complication.
From the observation in this study it can be stated that the low dose aspirin therapy can be continued prior to extraction procedure in the oral cavity without the fear of excessive intra-operative and post operative bleeding.
Cardiovascular Disease, Aspirin, Tooth Extraction, Blood Loss
