West China Journal of Stomatology ›› 2022, Vol. 40 ›› Issue (3): 255-263.doi: 10.7518/hxkq.2022.03.002

Previous Articles     Next Articles

Experts’ consensus on perioperative management of tooth extractions in patients receiving oral antithrombotic treatment

Pan Jian1(), Xue Yang2, Zhao Jihong3, Zhou Qing4, Zou Duohong5, Chen Songling6, Han Bing7, Cui Nianhui8, Liu Xian1, Wang Liao1, Hu Kaijin2()   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases & Dept. of Oral Surgery, School of Stomatology, Fourth Military Medical University, Xi’an 710032, China
    3.Dept. of Oral Surgery, Hospital of Stomatology, Wuhan University, Key Laboratory of Oral Biomedicine Ministry of Education, Wuhan 430079, China
    4.Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang 110001, China
    5.Dept. of Oral Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China
    6.Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
    7.Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Jilin University, Changchun 130021, China
    8.Dept. of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & National Health Commission Research Center of Engineering and Technology for Computerized Dentistry & National Medical Products Administration Key Laboratory for Dental Materials, Beijing 100081, China
  • Received:2022-01-29 Revised:2022-04-15 Online:2022-05-25 Published:2022-06-01
  • Contact: Hu Kaijin E-mail:jianpancn@163.com;hukaijin2015@126.com
  • Supported by:
    Sichuan Cadres Health Care Project(2019-901);Research and Develop Program, West China Hospital of Stomatology, Sichuan University(LCYJ2019-1);Correspondence: Hu Kaijin, hukaijin2015@126.com

Abstract:

Thromboembolic diseases, which comprise venous thromboembolic diseases and arterial thromboembolic diseases, have become the number one cause of death worldwide. To prevent or treat thrombosis, patients with thromboembolic diseases need to take antithrombotic drugs, which would increase the risk of bleeding during and after surgery. Tooth extraction is the most common operation in oral and maxillofacial surgery clinics. Although patients given oral antithrombotic drugs do not need to undergo drug withdrawal, the perioperative management of such patients remains confusing to most clinicians. Moreover, the potential risk factors for bleeding warrant further study. To improve the clinicians’ knowledge of perioperative management for patients subjected to tooth extractions with oral antithrombotic drugs, experts have drafted this consensus focusing on preoperative bleeding risk assessment, intraoperative operating norms, and postoperative care to summarize the points needing attention.

Key words: antithrombotic drugs, tooth extraction, perioperative management, experts’ consensus

CLC Number: