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항응고제를 복용하는 환자의 발치에 관한 연구 Study about Dental Extraction of Patients Receiving Antiplatelet Treatment

유태민
  • 언어ENG
  • URLhttp://db.koreascholar.com/Article/Detail/293311
대한구강악안면병리학회지
제36권 제5호 (2012.10)
pp.277-286
대한구강악안면병리학회 (Korean Academy Of Oral And Maxillofacial Pathology)
초록

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

목차
Ⅰ. Introduction
 Ⅱ. Materials and Method
 Ⅲ. Discussion
 Ⅳ. Conclussion
 Ⅴ. References
저자
  • 유태민(Department of Advanced General Dentistry, Dental Hospital, Dankook University) | Tae Min You correspondence