Department of Prosthodontics, School of Dentistry, Albert-Ludwigs University, Freiburg, Germany.
J Oral Rehabil. 2011 Aug;38(8):615-33. doi: 10.1111/j.1365-2842.2010.02184.x. Epub 2010 Nov 15.
Specific diseases and medications may considerably influence the delivery of oral care and the course of dental therapy. The purpose of this literature review is to examine the relationship between oral anticoagulant medication and dental treatment. Electronic and manual searches were conducted for clinical studies in the English literature for the years 1988-2010. The review process provided a total of 110 pertinent literature references, out of which 38 studies dealt with oral anticoagulants and dental treatment. Different treatment strategies relative to dental periprocedural anticoagulation regimens have been identified, and their accompanying thromboembolic and bleeding risks are being presented and discussed. Regarding to what extent a safe and successful dental treatment in patients on anticoagulant medication is feasible, the level of evidence is lacking. Until high-level data are provided, an individualised treatment approach after consultation with the physician of the patient is highly recommended.
特定的疾病和药物可能会极大地影响口腔护理的提供和牙科治疗的进程。本文献回顾的目的是研究口服抗凝药物与牙科治疗之间的关系。对 1988 年至 2010 年的英文文献中的临床研究进行了电子和手动检索。审查过程共提供了 110 篇相关文献参考，其中 38 篇研究涉及口服抗凝剂和牙科治疗。已经确定了针对牙科围手术期抗凝方案的不同治疗策略，并且正在提出和讨论其伴随的血栓栓塞和出血风险。至于在接受抗凝药物治疗的患者中进行安全且成功的牙科治疗的可行性程度，证据水平不足。在提供高质量数据之前，强烈建议在与患者的医生咨询后采取个体化的治疗方法。
