Clinical evaluation of tooth extraction in hemodialysis patients undergoing antithrombotic therapy
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- TAMAKI Shigehiro
- Department of Dentistry and Oral Surgery, Takai Hospital
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- YAMANAKA Yasutsugu
- Department of Dentistry and Oral Surgery, Takai Hospital
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- SHIMOMURA Hiroyuki
- Department of Dentistry and Oral Surgery, Takai Hospital
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- YAMAKAWA Nobuhiro
- Department of Oral and Maxillofacial Surgery, Nara Medical University
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- KAWASHIMA Wataru
- Department of Oral and Maxillofacial Surgery, Nara Medical University
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- FUKUTSUJI Satoshi
- Department of Oral and Maxillofacial Surgery, Nara Medical University
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- UEDA Nobuhiro
- Department of Oral and Maxillofacial Surgery, Nara Medical University
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- IMAI Yuichiro
- Department of Oral and Maxillofacial Surgery, Nara Medical University
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- KIRITA Tadaaki
- Department of Oral and Maxillofacial Surgery, Nara Medical University
Bibliographic Information
- Other Title
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- 血液透析患者における抜歯に関する臨床的検討
- ケツエキ トウセキ カンジャ ニ オケル バッシ ニ カンスル リンショウテキ ケントウ
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Abstract
We report the clinical analysis of 33 hemodialysis patients who underwent tooth extractions (63 extractions in total) at Takai Hospital during the 4-year period from April 2007 to April 2011.<br>The patients were divided into two groups: those who were administered an antithrombotic agent (antithrombotic group; 20 cases; 39 extractions), and those who were not (non-antithrombotic group; 13 cases; 24 extractions). For both groups, the anticoagulant was switched to low-molecular-weight heparin or nafamostat mesilate for dialysis on the day before extraction. Local hemostasis was achieved in both groups with tight suturing and astriction. With respect to local inflammation prior to extraction, both groups involved mostly grade 0 cases. For post-extraction bleeding, both the antithrombotic and non-antithrombotic groups had 4 cases each with bleeding greater than grade 1. The 8 cases with post-extraction bleeding also had local inflammation greater than grade 2, with inflammation seen as the reason for the bleeding.<br>In conclusion, appropriate local hemostasis among hemodialysis patients undergoing antithrombotic therapy is essential for achieving hemostasis.
Journal
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- Journal of The Japanese Stomatological Society
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Journal of The Japanese Stomatological Society 61 (3), 251-257, 2012
Japanese Stomatological Society
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Keywords
Details 詳細情報について
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- CRID
- 1390001206436432768
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- NII Article ID
- 10031144856
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- NII Book ID
- AN00189050
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- ISSN
- 21850461
- 00290297
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- NDL BIB ID
- 023973250
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- Text Lang
- en
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed