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Ekstrakcije zuba kod pacijenata na antikoagulantnoj terapiji
Acta stomatologica Croatica : International journal of oral sciences and dental medicine, 42 (2008), 4; 379. urn:nbn:hr:220:328071
Klarić, Eva; Filipović Zore, Irina; Gaćina, Petar; Galić, Ivan

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Klarić, E., Filipović Zore, I., Gaćina, P. & Galić, I. (2008). Ekstrakcije zuba kod pacijenata na antikoagulantnoj terapiji. Acta stomatologica Croatica : International journal of oral sciences and dental medicine, 42. (4), 379. Retrieved from https://urn.nsk.hr/urn:nbn:hr:220:328071

Klarić, Eva, et al. "Ekstrakcije zuba kod pacijenata na antikoagulantnoj terapiji." Acta stomatologica Croatica : International journal of oral sciences and dental medicine, vol. 42, no. 4, 2008, p. 379. https://urn.nsk.hr/urn:nbn:hr:220:328071

Klarić, Eva, Irina Filipović Zore, Petar Gaćina and Ivan Galić. "Ekstrakcije zuba kod pacijenata na antikoagulantnoj terapiji." Acta stomatologica Croatica : International journal of oral sciences and dental medicine 42, no. 4 (2008): 379. https://urn.nsk.hr/urn:nbn:hr:220:328071

Klarić, E., et al. (2008) 'Ekstrakcije zuba kod pacijenata na antikoagulantnoj terapiji', Acta stomatologica Croatica : International journal of oral sciences and dental medicine, 42(4), p. 379. Available at: https://urn.nsk.hr/urn:nbn:hr:220:328071 (Accessed 08 December 2024)

Klarić E, Filipović Zore I, Gaćina P, Galić I. Ekstrakcije zuba kod pacijenata na antikoagulantnoj terapiji. Acta stomatologica Croatica : International journal of oral sciences and dental medicine [Internet]. 2008 [cited 2024 December 08];42(4):379. Available at: https://urn.nsk.hr/urn:nbn:hr:220:328071

E. Klarić, I. Filipović Zore, P. Gaćina and I. Galić, "Ekstrakcije zuba kod pacijenata na antikoagulantnoj terapiji", Acta stomatologica Croatica : International journal of oral sciences and dental medicine, vol. 42, no. 4, p. 379, 2008. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:328071. [Accessed: 08 December 2024]

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Metadata
Title (croatian)Ekstrakcije zuba kod pacijenata na antikoagulantnoj terapiji
Title (english)Dental extractions in patients taking anticoagulant therapy
AuthorEva Klarić
AuthorIrina Filipović Zore
AuthorPetar Gaćina
AuthorIvan Galić
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Dental Medicine
Abstract (croatian)
Bolesnici koji imaju određenu oralnu antikoagulantnu terapiju zbog prevencije ili liječenja kardiovaskularnih bolesti, česti su pacijenti u stomatološkim ambulantama te se uglavnom neodgovarajuće tretiraju ili čak upućuju oralnom kirurgu i za jednostavne zahvate. Nakon ekstrakcije teoretski postoji minimalan rizik od produljenog krvarenja, no prekidom terapije rizik može biti znatno veći zbog moguće trombembolije. Vađenje zuba može se obaviti bez prekida protuzgrušavajuće terapije, ako se primijene lokalne mjere hemostaze pomoću želatinoznih spužvi, šavovima i/ili ispiranjem usne šupljine traneksamičnom kiselinom, što sprječava produženo krvarenje. U istraživanju je sudjelovalo 16 pacijenata na oralnoj kumarinskoj antikoagulantnoj terapiji kod kojih je bilo potrebno obaviti ekstrakciju zuba i zaostalih korijenova. Bili su raspoređeni u tri skupine prema vrijednosti protrombinskog vremena (PV-a) izraženog kao INR (International Normalized Ratio). Produljeno postekstrakcijsko krvarenje spriječeno je želatinoznom spužvom (Gelatamp®) i 4,8-postotnom vodenom otopinom traneksamične kiseline (Cyklokapron®) koja se koristila za ispiranje usne šupljine. Od ukupno 16 ispitanika s prosječnim vremenom krvarenja od 3,75 ± 1,05 min i terapeutskim vrijednostima INR-a (≤ 3,0), te primjenom mjera lokalne hemostaze, samo je dvoje naknadno krvarilo, što je zaustavljeno postavljanjem šavova.
Abstract (english)
Patients who are taking oral anticoagulation therapy to prevent or treat their cardiovascular diseases, are often patients in dental offices. Usually, there are incongruously treated, or sent for simple interventions or dental procedures to oral surgeon. There is a theoretical risk of bleeding after dental surgery in patients at therapeutic levels of anticoagulation, however it is minimal, and may be greatly outweighed by the risk of thromboembolism upon anticoagulant therapy withdrawal. Thus, dental extractions can be performed without modification or interruption of oral anticoagulant therapy. In most patients local hemostasis with gelatin sponge, sutures and/or mouthwash with tranexamic acid is sufficient to prevent postoperative bleeding. Sixteen patients taking oral coumarin anticoagulant therapy and undergoing dental extractions took part in this study. Three groups of patients were performed according to therapeutic prothrombin time which was declared as International Normalization Ratio (INR). Extensively postoperative bleeding was prevented with gelatine sponge (Gelatamp ®) and 4.8 % tranexamic acid mouthwash (Cyklokapron®). Among sixteen patients with average bleeding time of 3.75 ± 1.05 minutes and INR values inside therapeutic range (<3.0), only two of them had short episodes of delayed bleeding. It was stopped by placing a suture over extraction wound.
Languagecroatian
Languageenglish
Publication typeOther - Conference abstract
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa stomatologica Croatica : International journal of oral sciences and dental medicine
Numberingvol. 42, no. 4, p. 379
p-ISSN0001-7019
e-ISSN1846-0410
URN:NBNurn:nbn:hr:220:328071
Publication2008
ConferenceTitle: 4. međunarodni kongres Hrvatskog stomatološkog društva HLZ-a
Title: 4th International Congress of the Croatian Dental Society CMA
Location: Zagreb, Croatia
Organizer: Hrvatski liječnički zbor
Start date: 2008-11-13
End date: 2008-11-15
Document URLhttps://hrcak.srce.hr/30534
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2022-09-02 11:19:22