항응고제를 복용하는 환자의 발치에 관한 연구
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The population of patients with antiplatelet treatment is expanding globally with the rising prevalence of cardiovascular disease
and increasing use of percutaneous coronoary interventions. While antiplatelet agents have revolutionized the management
of atherosclerotic disease and its thromotic complications, the potential of bleeding remains an inherent risk. Dentists are more
likely to stop antiplatelet therapy before dental extraction because they think that the patient is at high risk for bleeding.
However stopping or altering antiplatelet therapy may expose such patients to the risk of a thromboembolic event such as
thromboembolism, myocardial infarction, or cerebrovascular accidents particulary in patients wirh drug-eluting stent. In this study,
we report 3cases that were perfomed dental extraction in patients receiving single or dual antiplatelet therapy without immediate
and late postextraction bleeding and reviewed the literature on dental extraction in patients receiving antiplatelet therapy. We
concluded that dental extractions may be safely performed in patients receiving single or dual antiplatelet therapy when appropriate
local hemostatic measures are taken, thus averting thrombotic risk of temporary antiplatelet discontinuation.
and increasing use of percutaneous coronoary interventions. While antiplatelet agents have revolutionized the management
of atherosclerotic disease and its thromotic complications, the potential of bleeding remains an inherent risk. Dentists are more
likely to stop antiplatelet therapy before dental extraction because they think that the patient is at high risk for bleeding.
However stopping or altering antiplatelet therapy may expose such patients to the risk of a thromboembolic event such as
thromboembolism, myocardial infarction, or cerebrovascular accidents particulary in patients wirh drug-eluting stent. In this study,
we report 3cases that were perfomed dental extraction in patients receiving single or dual antiplatelet therapy without immediate
and late postextraction bleeding and reviewed the literature on dental extraction in patients receiving antiplatelet therapy. We
concluded that dental extractions may be safely performed in patients receiving single or dual antiplatelet therapy when appropriate
local hemostatic measures are taken, thus averting thrombotic risk of temporary antiplatelet discontinuation.
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