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Zahnärztliche Eingriffe bei antikoagulierten Patienten


Mutzbauer, T S; Imfeld, T (2008). Zahnärztliche Eingriffe bei antikoagulierten Patienten. Therapeutische Umschau, 65(2):111-114.

Abstract

It has long been a standard procedure to replace coumarin by heparin if a patient using this oral anticoagulant had to undergo dental surgery. The Quick-Value had then to exceed a certain limit before surgery could be safely performed. Today this procedure has changed in that a switch to heparin is only made for invasive and large area surgery. Simple dental extractions, small biopsies and periodontal treatments are performed under continuous oral anticoagulation and local hemostyptic measures are applied. It has been shown that the likelihood of postoperative bleeding complications after adequate local hemostasis during dental surgery is much lower than is the risk of thrombosis or embolic complication following cessation of anticoagulant medication before surgery.

It has long been a standard procedure to replace coumarin by heparin if a patient using this oral anticoagulant had to undergo dental surgery. The Quick-Value had then to exceed a certain limit before surgery could be safely performed. Today this procedure has changed in that a switch to heparin is only made for invasive and large area surgery. Simple dental extractions, small biopsies and periodontal treatments are performed under continuous oral anticoagulation and local hemostyptic measures are applied. It has been shown that the likelihood of postoperative bleeding complications after adequate local hemostasis during dental surgery is much lower than is the risk of thrombosis or embolic complication following cessation of anticoagulant medication before surgery.

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Additional indexing

Other titles:Dental surgery in patients receiving anticoagulant therapy
Item Type:Journal Article, not refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Preventive Dentistry, Periodontology and Cariology
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:February 2008
Deposited On:19 Dec 2008 16:07
Last Modified:05 Apr 2016 12:32
Publisher:Hans Huber
ISSN:0040-5930
Publisher DOI:10.1024/0040-930.65.2.111
PubMed ID:18517066
Permanent URL: http://doi.org/10.5167/uzh-4975

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