Saudi Journal of Medicine (SJM)
Volume-4 | Issue-08 | 580-584
Original Research Article
Evaluation of Post Extraction Bleeding on Aspirin Patient- A Clinical Study
Ankita Saxena, Ganapati Anil Kumar, Pranoti Hiralkar, Sushil Bhagwan Mahajan, Shaik Rubeena Tabasum, Pritee Rajkumar Pandey
Published : Aug. 16, 2019
Abstract
Backgroud: Aspirin is the generic name of Acetylsalicylic acid (ASA). It is an analgesic, antipyretic, anti-inflammatory. It also has an antiplatelet action and therefore this drug is used in the prevention and treatment of thromboembolic diseases. In order to avoid the excessive bleeding and to be on the safer side, dentists have traditionally advised their patients to stop taking aspirin before extraction of teeth although this surgical procedure can be done without cessation of aspirin intake and if the clinician wishes to stop the aspirin therapy, it should not exceed more than 3 days prior to the dental procedure. Objective: The purpose of the present study was to assess the time required for hemostasis if the low dose (150 mg once daily) aspirin therapy discontinued 3 days prior to dental extraction. Methodology: A cross sectional study was conducted which comprised of 40 subjects who took low dose of aspirin (150 mg) once daily. The blood pressure of all the subjects was recorded preoperatively. The extractions were done atraumatically under local anesthesia using 2% lidocaine with 1:100,000 epinephrine. The postoperative bleeding was controlled by the pressure pack. Result: Among 40 patients, the postoperative hemostatic time of 82.5% subjects was less than or equal to 10 minutes while that of 17.5 % was more than 10 minutes. The bleeding was successfully managed by the pressure pack. Conclusion: Reviewing most of the dental and medical literatures, it can be concluded that there is absolutely no need to discontinue aspirin therapy for any ambulatory dental procedure, and even if the practitioner wishes to discontinue, it should not be for more than 3 days. This is also stated in the guidelines of the American Heart Association. Therefore, it can be assumed that the dental extraction can be done without long cessation of low dose aspirin and avoiding the life threatening issues.