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Clinical study on hemorrhagic complications in antiplatelet and anticoagulated patients undergoing dental treatment

Year: 2025
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Patients undergoing treatment with antiplatelet or anticoagulant drugs are attending dental consultations. Therefore, it has become essential to evaluate the patient before treatment and to conduct a thorough medical history. The goal of this study is to analyze the patients attending a dental clinic over a period of 6 months to determine how many are taking antiplatelet or anticoagulant medications, what dental treatment they seek, what hemostatic measures are taken, and whether they suffer hemorrhagic complications as a result of the treatment. This will help to prevent such complications by applying appropriate protocols, especially in the field of oral surgery. MATERIAL AND METHODS: Over a six-month period, 867 patients attended a dental clinic in Madrid. Of these, 43 were taking antiplatelet agents or anticoagulants. A descriptive statistical analysis was conducted to gather data on age, gender, medication, dental treatment received, and hemorrhagic complications. RESULTS: Only 4.9% of the patients attending the dental clinic were taking antiplatelet or anticoagulant medications. Specifically, 53.48% were taking antiplatelet agents, 34.8% were taking direct oral anticoagulants, and 11.62% were on vitamin K antagonist anticoagulants. After applying the appropriate clinical protocol in each case, only one patient experienced postoperative bleeding, which was not severe. CONCLUSIONS: Based on the results, it may not be necessary to withdraw antiplatelet or anticoagulant therapy due to the low incidence and non-severity of complications in simple dental procedures.
DOI: 10.4317/medoral.27715
Language: English
Field: Medicine
Open Access status: diamond
OpenAlex ID: W4416573124
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