Powless R Andrew, Omar Hesham R, Mangar Devanand, Camporesi Enrico M
Dental and Oral and Maxillofacial Surgery at Tampa General Hospital. Tampa, Fl, USA.
J Calif Dent Assoc. 2013 Jun;41(6):417-20.
The management of antiplatelet and anticoagulant therapy before full-mouth extraction is a major concern for dentists. Approach should vary depending on the risk of bleeding and adverse cardiac events. We have adapted a more conservative approach with continuation of antiplatelet therapy in the majority of patients while implementing local hemostatic measures with good outcomes. Specific recommendations are provided for antiplatelet therapy before mouth extraction.
在进行全口拔牙前,抗血小板和抗凝治疗的管理是牙医主要关注的问题。治疗方法应根据出血风险和心脏不良事件而有所不同。我们采用了一种更为保守的方法,即在大多数患者中继续进行抗血小板治疗,同时采取局部止血措施,取得了良好的效果。本文针对拔牙前的抗血小板治疗提供了具体建议。