Application of the TachoComb to the patients receiving oral anticoagulants after tooth extraction
Keywords:
anticoagulant therapy, tooth extraction, hemostatic surgical dressing, bleedingAbstract
The use of oral anticoagulant medications causes prolonged bleeding after tooth extractions. The problem of local procedures aimed at obtaining normal haemostasis in such patients following tooth extraction still remains an important problem of stomatological practice. The objective of this paper is to evaluate the applicability of the TachoComb hemostatic formula to the local treatment of post-extraction bleeding in patients receiving oral anticoagulants. The TachoComb fibrinous-collagenous haemostatic formula was applied after tooth extraction to 116 patients receiving oral anticoagulants. The control group consisted of 74 patients in whom an anti-thrombotic therapy was discontinued before and during the extractive surgery and whose post-extraction wounds were sutured with compression. Secondary bleeding occurred in 3 patients (2.6%) from the investigated group and in 10 patients (13.5%) from the control group. Local application of the TachoComb formula resulted in obtaining effective haemostasis in 97.4% of the patients. In this group bleeding was reduced in intensity and occurred between the third and fifth day following the extraction. The observations made point out that the TachoComb may be used effectively for the local treatment of bleedings after tooth extraction in patients receiving oral anticoagulants.
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