Open Access Research article

Odontostomatologic management of patients receiving oral anticoagulant therapy: a retrospective multicentric study

Francesco Inchingolo1,4*, Marco Tatullo2,4, Fabio M Abenavoli3, Massimo Marrelli4, Alessio D Inchingolo5, Salvatore Scacco2, Francesco Papa1, Angelo M Inchingolo6 and Gianna Dipalma4

Author Affiliations

1 Department of Dental Sciences and Surgery, University of Bari, Bari, Italy

2 Department of Medical Biochemistry, Medical Biology and Physics, University of Bari, Bari, Italy

3 Department of "Head and Neck Diseases", Hospital "Fatebenefratelli", Rome, Italy

4 Department of Maxillofacial Surgery, Calabrodental, Crotone, Italy

5 Department of Dental Sciences and Surgery, Dental School, Bari, Italy

6 Department of Surgical, Reconstructive and Diagnostic Sciences, University of Milano, Milano, Italy

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Annals of Surgical Innovation and Research 2011, 5:5 doi:10.1186/1750-1164-5-5

Published: 19 July 2011

Abstract

Introduction

Today, we frequently find patients taking oral anticoagulant therapy (OAT), a prophylaxis against the occurrence of thromboembolic events. An oral surgeon needs to know how to better manage such patients, in order to avoid hemorrhagic and thromboembolic complications.

Materials and methods

A group of 193 patients (119 men aged between 46 and 82 and 74 women aged between 54 and 76) undergoing OAT for more than 5 years were managed with a standardized management protocol and a 2-months follow-up. The aim of the present study was to apply a protocol, which could provide a safe intra- and postoperative management of patients on OAT.

Results

Among the 193 patients, only 2 had postoperative complications.

Conclusions

We think that the protocol used in the present study can be used for complete safety in the treatment of this type of patients.

Keywords:
Oral Anticoagulant Therapy (OAT); Tranexamic Acid; Oral Surgery