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Treatment with local hemostatic agents and primary closure after tooth extraction in warfarin treated patients.

Svensson, Roger ; Hallmer, Fredrik ; Englesson, Charlotta Sahlström ; Svensson, Peter LU and Becktor, Jonas P (2013) In Swedish Dental Journal 37(2). p.71-78
Abstract
The aim of this retrospective study was to assess the frequency of postoperative bleeding in patients on warfarin after tooth removal followed by a complete soft tissue closure of the surgical site. A total of 124 consecutive patients, 69 males and 55 females with a mean age of 71 years (range 28-95 years) were included in this study. Inclusion criteria were patients on warfarin with an INR <or=3.5 who were referred for tooth removal (single or multiple) during 2004-2009. After tooth extraction all sockets were packed with an absorbable haemostatic gelatin sponge or a collagen fleece and subsequently the sockets was primary closed with sutures. 5/124 (4%) patients returned with postoperative bleedings. All patients with a postoperative... (More)
The aim of this retrospective study was to assess the frequency of postoperative bleeding in patients on warfarin after tooth removal followed by a complete soft tissue closure of the surgical site. A total of 124 consecutive patients, 69 males and 55 females with a mean age of 71 years (range 28-95 years) were included in this study. Inclusion criteria were patients on warfarin with an INR <or=3.5 who were referred for tooth removal (single or multiple) during 2004-2009. After tooth extraction all sockets were packed with an absorbable haemostatic gelatin sponge or a collagen fleece and subsequently the sockets was primary closed with sutures. 5/124 (4%) patients returned with postoperative bleedings. All patients with a postoperative bleeding had received a surgical extraction in the posterior part of the maxilla. Consequently no patient had a postoperative bleeding in the mandible. None of the 124 patients returned to the clinic with a dry socket or postoperative pain. 3/124 (2%) patients returned with postoperative infection that required antibiotic treatment. All patients who bled were managed conservatively and none was admitted to hospital. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Swedish Dental Journal
volume
37
issue
2
pages
71 - 78
publisher
Sveriges Tandläkarförbund
external identifiers
  • wos:000327049000002
  • pmid:23957141
  • scopus:84881012007
ISSN
0347-9994
language
English
LU publication?
yes
id
4be24356-19d8-425b-bae9-6f048de57fba (old id 4005552)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23957141?dopt=Abstract
date added to LUP
2016-04-01 13:17:12
date last changed
2022-01-27 18:24:16
@article{4be24356-19d8-425b-bae9-6f048de57fba,
  abstract     = {{The aim of this retrospective study was to assess the frequency of postoperative bleeding in patients on warfarin after tooth removal followed by a complete soft tissue closure of the surgical site. A total of 124 consecutive patients, 69 males and 55 females with a mean age of 71 years (range 28-95 years) were included in this study. Inclusion criteria were patients on warfarin with an INR &lt;or=3.5 who were referred for tooth removal (single or multiple) during 2004-2009. After tooth extraction all sockets were packed with an absorbable haemostatic gelatin sponge or a collagen fleece and subsequently the sockets was primary closed with sutures. 5/124 (4%) patients returned with postoperative bleedings. All patients with a postoperative bleeding had received a surgical extraction in the posterior part of the maxilla. Consequently no patient had a postoperative bleeding in the mandible. None of the 124 patients returned to the clinic with a dry socket or postoperative pain. 3/124 (2%) patients returned with postoperative infection that required antibiotic treatment. All patients who bled were managed conservatively and none was admitted to hospital.}},
  author       = {{Svensson, Roger and Hallmer, Fredrik and Englesson, Charlotta Sahlström and Svensson, Peter and Becktor, Jonas P}},
  issn         = {{0347-9994}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{71--78}},
  publisher    = {{Sveriges Tandläkarförbund}},
  series       = {{Swedish Dental Journal}},
  title        = {{Treatment with local hemostatic agents and primary closure after tooth extraction in warfarin treated patients.}},
  url          = {{http://www.ncbi.nlm.nih.gov/pubmed/23957141?dopt=Abstract}},
  volume       = {{37}},
  year         = {{2013}},
}