Table of Contents
ISRN Dentistry
Volume 2014 (2014), Article ID 463684, 11 pages
http://dx.doi.org/10.1155/2014/463684
Review Article

Dental Extraction Can Be Performed Safely in Patients on Aspirin Therapy: A Timely Reminder

Department of Oral and Maxillofacial Surgery, Himachal Institute of Dental Sciences, Paonta Sahib, Himachal Pradesh 135001, India

Received 30 January 2014; Accepted 16 March 2014; Published 1 April 2014

Academic Editors: M. Del Fabbro and D. Wray

Copyright © 2014 Gaurav Verma. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cardiac patients on aspirin therapy may require extractions for their diseased teeth. It is a common practice among physicians and treating surgeons to stop aspirin prior to tooth extraction because of fear of bleeding complications. This practice often predisposes the patient to adverse thromboembolic events. This practice is based on theoretical risk of bleeding and on isolated case reports of excessive bleeding with aspirin therapy. The current consensus and recommendations are in favor of continuing aspirin therapy during simple tooth extraction as the bleeding complication incidence is very less and if it occurs can be controlled efficiently with local hemostasis measures.