Dental treatment in the era of new anti‐thrombotic agents. (17th September 2017)

• Record Type: Journal Article
• Authors: Sahar‐Helft, Sharonit; Chackartchi, Tali; Polak, David; Findler, Mordechai
• Is Part Of: International dental journal. Volume 68:Number 3(2018)
• Page Start: 131
• Page End: 137
• Publication Date: 2017-09-17
• Subjects: Oral surgery -- postoperative bleeding -- thromboembolic events -- new anti‐thrombotic drugs; Dentistry -- Periodicals; Dentistry -- Periodicals; 617.6005
• DOI: 10.1111/idj.12322
• Languages: English
• ISSNs: 0020-6539

Abstract

Abstract : Background: In recent years, there have been dramatic changes in anti‐thrombotic treatment as a result of new anti‐thrombotic agents, as well as changes in the indications for their use. As a consequence, dentists are encountering larger numbers of patients who are undergoing anti‐thrombotic treatment and who have increased risk for bleeding. The current paper aims to review the literature regarding up‐to‐date anti‐thrombotic treatment and provide information regarding their implications on dentistry. Methods: An online search was performed of the literature published between 2000 and 2016. Articles dealing with evidence‐based clinical guidelines for anti‐thrombotic treatments, as well as literature reporting the use of anti‐thrombotic medications were included. The manuscripts were screened according to their relevance to dentistry as well as their treatment protocol guidelines. Results: In total, 5, 539 publications were identified: 56 of 554 evidence‐based clinical guidelines were found that dealt with treatment protocols with anti‐thrombotic agents; and 132 of 5, 539 articles describe direct anti‐thrombotic medications. Clinical implications: Dental treatment includes a risk for bleeding. As a result of the increasing number of patients taking new‐generation anti‐thrombotic drugs, dentists must be up to date regarding the implications of such drugs on dental treatment as well as the practical means to achieve haemostasis.