書誌事項
- タイトル別名
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- A multicenter prospective study of simple tooth extraction in patients on antithrombotic therapy
- 抗血栓療法施行患者における普通抜歯に関する前向き多施設共同研究 : 圧迫止血を基本とした一次止血法と抜歯後出血に関する因子についての検討
- コウケッセン リョウホウ シコウ カンジャ ニ オケル フツウ バッシ ニ カンスル マエムキ タシセツ キョウドウ ケンキュウ : アッパク シケツ オ キホン ト シタ イチジ シケツホウ ト バッシ ゴ シュッケツ ニ カンスル インシ ニ ツイテ ノ ケントウ
- ―圧迫止血を基本とした一次止血法と抜歯後出血に関する因子についての検討―
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抄録
We devised a treatment protocol for simple tooth extraction that conforms to the “Guidelines for management of anticoagulant and antiplatelet therapy in cardiovascular disease (JCS2004)”. Using this protocol, 1,020 simple dental extractions were performed in patients on antithrombotic therapy (patient group) and in control patients (control group).<br>We statistically analyzed bleeding after tooth extraction following complete hemostasis (postoperative bleeding), difficulty stopping bleeding after tooth extraction (hemostatic difficulty), background factors, contents of hemostasis, antithrombotic medications, oral surgery specialist qualification of the operator, and PT-INR.In the patient group, 56 cases with hemostatic difficulty were observed (14.7%) and postoperative bleeding (3.1%) after extraction occurred in 12 of the 382 cases. In the control group, there were 12 cases with hemostatic difficulty (1.9%) and one with postoperative bleeding (0.2%) among the 638 undergoing extraction. Hemostatic difficulty and postoperative bleeding requiring serious systemic hemostatic intervention was not observed in any of the cases undergoing extraction. Factors related to hemostasis difficulties were local inflammatory and anti-platelet therapy and warfarin therapy. Factors associated with postoperative bleeding were oral surgery specialist qualification and warfarin therapy.<br>In this study, tooth extraction was performed employing our protocol which is based on compressive hemostasis. Tooth extraction can be safely carried out during antithrombotic therapy with appropriate local hemostasis. Furthermore, hemostasis was possible with a local hemostatic method in all cases of the patient group and the control group.
収録刊行物
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- 日本口腔科学会雑誌
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日本口腔科学会雑誌 63 (1), 1-10, 2014
特定非営利活動法人 日本口腔科学会
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詳細情報 詳細情報について
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- CRID
- 1390282681413597440
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- NII論文ID
- 130004781806
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- NII書誌ID
- AN00189050
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- ISSN
- 21850461
- 00290297
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- NDL書誌ID
- 025357491
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可