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Patienter i antitrombotisk behandling i tandlaegepraksis
Engelsk titel: Patients in antithrombotic therapy in dental practice Läs online Författare: Baungaard Nielsen, Helle ; Decker Christensen, Thomas ; Nörholt, Sven Erik Språk: Dan Antal referenser: 19 Dokumenttyp: Artikel UI-nummer: 17013831

Tidskrift

Tandlaegebladet 2016;120(10)878-82 ISSN 0039-9353 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Patients in antithrombotic therapy in dental practice: The number of patients receiving antithrombotic therapy is increasing and the treatment covers anti-coagulant and anti-platelet drugs. Treatment-related bleeding associated with oral surgery is considered expected in this patient group, and a knowledge among dentists of the different anticoagulant and anti-platelet drugs, and local haemostatics is assumed. The purpose of this article is to raise awareness of the different antithrombotic drugs, focusing on the new anti-coagulant and anti-platelet drugs on the market, and describe the precautions that should be taken in relation to oral surgery. In recent years, a new series of anti-platelet and anti-coagulant drugs has been developed and commonly used; and the knowledge of these new products related to oral surgery is limited. Pausing or changed intensity of the antithrombotic preparations can increase the risk of thromboembolic complications, while maintaining antithrombotic therapy can cause bleeding complications intra- and post-operatively. Therefore, an individual assessment of the patient in antithrombotic therapy prior to oral surgery is required and attention must be drawn to preoperative planning, perioperative control and postoperative precautions.