Year : 2015

Volume : Volume 5

Issue : Issue 3

Address for correspondence :
Dr. Hiral Shah
hiralshah@gmail.com

Abstract

Background:  Aim: The aim of the study was to evaluate the influence of aspirin on post‑extraction bleeding in a clinical setup. Materials and Methods: Ninety patients aged between 50 and 65 years who were indicated for dental extraction for endodontic reason were selected from the outpatient Department of Oral and Maxillofacial Surgery. The patients were randomly divided into aspirin continuing group (group A) and aspirin discontinuing group (group B). After checking all the vital signs, the extractions were carried out. Bleeding time and clotting time were recorded for evaluation by Chi‑square test.  Results: Chi‑square test revealed that the bleeding time increased (3.9 ± 0.61) in group A patients who continued with the aspirin therapy and decreased in group B who discontinued aspirin. Similarly, the clotting time increased in group B patients and decreased in group A patients. But in both the groups, bleeding and clotting time remained within normal limits.  Conclusion: Reviewing most of the dental and medical literature, it can be concluded that there is absolutely no need to discontinue antiplatelet therapy for any ambulatory dental procedure, and even if the practitioner wishes to discontinue, it should not be for more than 3 days. Similar finding is also stated in the guidelines of the American Heart Association. Keywords: Crestal bone loss, dental implants, implant loading, osseointegration, peri-implantitis.