Analysing the effectiveness of topical bleeding care following tooth extraction in patients receiving dual antiplatelet therapy-retrospective observational study

Abstract Background Patients using antiplatelet drugs following infarctions, acute coronary syndrome or stroke pose a significant clinical problem if it is necessary to perform surgery, including dental since they are at risk of prolonged secondary post-extraction bleeding. Discontinuation this therapy associated with high serious thromboembolic complications. The purpose study was assess the effectiveness TachoSil fibrin-collagen patches in stopping and preventing bleeding patients undergoing chronic therapy. Methods conducted through retrospective examination medical records 153 those qualified for tooth extraction. largest group comprised 74 aspirin clopidogrel as dual platelet antiaggregation therapy; 75 extractions were carried out. In all stiches applied wounds resulting from removal. Results Following extraction, primary stopped their closed via coagulation within 20–30 min. eight cases, accounting 4.9% patients, occurred successfully only by applying pressure dressing soaked tranexamic acid. Secondary three on second day five third Conclusion Topical application removal single effectively prevented after