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논문 기본 정보

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학술저널
저자정보
강상훈 (국민건강보험공단 일산병원) Min-Jun Kang (National Health Insurance Service Ilsan Hospital)
저널정보
대한구강악안면외과학회 대한구강악안면외과학회지 대한구강악안면외과학회지 제47권 제3호
발행연도
2021.6
수록면
190 - 196 (7page)
DOI
10.5125/jkaoms.2021.47.3.190

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Objectives: The risk of bleeding after tooth extraction in thrombocytopenia patients remains unclear. Therefore, the present study aimed to assess the risk of bleeding after tooth extraction in patients with thrombocytopenia. Materials and Methods: The study included 220 patients who had a medical history of thrombocytopenia and underwent tooth extraction (330 teeth). The patients were divided into those who had thrombocytopenia (platelet count <150k) immediately before the tooth extraction, and those who had platelet counts that were between 150k and 250k before the extraction. Bleeding complications were recorded and compared between the patient groups. Results: Of the 220 patients, 130 underwent tooth extractions while having thrombocytopenia (platelet count <150k), and 90 had platelet counts that were between 150k and 250k before tooth extractions. Bleeding complications occurred in 11 patients (5.0%) of the 220 patients. Among those 11 patients with bleeding complications, 10 patients (7.7%) had thrombocytopenia (platelet count <150k) of the 130 patients, and 1 patient (1.1%) had a normal platelet count of the 90 patients. There was a significant difference between the patient groups regarding bleeding after extractions (P<0.001). No significant difference in the incidence of post-extraction bleeding was found between the subgroups by platelet count within the thrombocytopenia group. Conclusion: Thrombocytopenia (platelet count <150k) increases the risk of post-tooth extraction bleeding. Therefore, bleeding control under the proper evaluation of hemostasis and performing delicate tooth extraction procedures using hemostatic plugs is necessary during the tooth extraction of patients with thrombocytopenia.
#Thrombocytopenia #Postoperative hemorrhage #Tooth extraction #Platelet count

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참고문헌 (12)

참고문헌 신청
F. Akhlaghi / 2017 / Do antiplatelet drugs increase the risk of bleeding after tooth extraction? A case-crossover study / International Journal of Oral and Maxillofacial Surgery 46(11):1475~1478 Crossref Mohsen Sadeghi-Ghahrody / 2016 / Bleeding after tooth extraction in patients taking aspirin and clopidogrel (Plavix®) compared with healthy controls / British Journal of Oral and Maxillofacial Surgery 54(5):568~572 Crossref Branislav V. Bajkin / 2015 / Risk factors for bleeding after oral surgery in patients who continued using oral anticoagulant therapy / The Journal of the American Dental Association 146(6):375~381 Crossref Jumana Karasneh / 2019 / World Workshop on Oral Medicine VII: Platelet count and platelet transfusion for invasive dental procedures in thrombocytopenic patients: A systematic review / Oral Diseases 25(S1):174~181 Crossref W. Jonathan Fillmore / 2013 / Dental Extraction in the Thrombocytopenic Patient Is Safe and Complications Are Easily Managed / Journal of Oral and Maxillofacial Surgery 71(10):1647~1652 Crossref

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