Evaluation Of Bleeding During Tooth Extraction in Patients Using Antiplatelets: An Original Study

Abstract

Objective

The aim of this study was to evaluate the bleeding during dental extraction of single tooth among patients on uninterrupted antiplatelet therapy and suspended antiplatelet therapy.

Materials And Methods

A total of 100 patients under oral antiplatelet drugs requiring extraction of a single tooth were randomly assigned to Four groups. Group A consisted of 25 patients on 75mg aspirin, Group B consisted of 25 patients on 150mg aspirin, Group C consisted of 25 patients taking both Clopidogrel and Aspirin and Group D consisted of 25 patients taking aspirin but who have discontinued taking medication 3 days prior to extraction. The bleeding time of all patients was checked prior to extraction. The surgical procedure involved simple extraction of a single tooth under local anesthesia. The extraction socket was sutured with 3–0 silk. Pressure pack with gauze was given for 1 h. Bleeding was evaluated during extraction and after 1 h, 24 h were compared between groups. Chi-square test was used to compare the variables. P < 0.05 was taken as significant.

Results

None of the patients in either group had any significant uncontrollable bleeding during extraction.

Conclusion

Hence, we recommend routine single tooth extractions in patients on long-term antiplatelet medication, without interruption or alteration of their medication. Such patients do not have an increased risk of prolonged or excessive bleeding.