Perioperative Management of Dental Surgery Patients Chronically Taking Antithrombotic Medications

Sylwia Wójcik, Katarzyna Mocny-Pachońska (), Sophie Bisch-Wójcik, Agnieszka Balicz and Tadeusz Morawiec
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Sylwia Wójcik: Department of Dental Surgery, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Pl. Akademicki 17, 41-902 Bytom, Poland
Katarzyna Mocny-Pachońska: Department of Conservative Dentistry with Endodontics, Faculty of Medical Science, Medical University of Silesia, Pl. Akademicki 17, 41-902 Bytom, Poland
Sophie Bisch-Wójcik: University Clinical Center, Medical University of Silesia in Katowice, ul. Medyków 14, 40-752 Katowice, Poland
Agnieszka Balicz: Department of Dental Surgery, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Pl. Akademicki 17, 41-902 Bytom, Poland
Tadeusz Morawiec: Department of Dental Surgery, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Pl. Akademicki 17, 41-902 Bytom, Poland

IJERPH, 2022, vol. 19, issue 23, 1-9

Abstract: The development of medicine is based not only on the introduction of new methods of treatment, but also on the use of increasingly effective drugs, including antithrombotic drugs. Drugs that inhibit the activity of platelets (antiplatelet and anti-aggregating drugs) and pharmaceuticals that inhibit the activity of plasma coagulation factors (anticoagulants) are used in antithrombotic therapy. In our daily practice we encounter patients who take chronic antiplatelet or anticoagulant drugs. However, more and more often we are dealing with patients who are treated with two antiplatelet drugs, an antiplatelet and an anticoagulant or even undergoing triple antithrombotic therapy. When preparing the patient for invasive craniofacial procedures, it should be assessed whether the temporary discontinuation of antithrombotic treatment due to the fear of excessive perioperative bleeding is justified and will not result in life-threatening thromboembolic complications. The authors discuss in detail the medications used in modern antithrombotic treatment and present a perioperative management procedure with a patient who takes l4 z of these medications chronically.

Keywords: surgical procedures; dental surgery; antithrombotic; patient management (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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