Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제50권4호
  • /
  • Pages.189-196
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  • 2024
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Post-extraction bleeding in patients on direct oral anticoagulants

  • Min-Ji Kim (Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry) ;
  • Moon-Key Kim (Department of Oral and Maxillofacial Surgery, National Health Insurance Service Ilsan Hospital) ;
  • Sang-Hoon Kang (Department of Oral and Maxillofacial Surgery, National Health Insurance Service Ilsan Hospital)
  • 투고 : 2024.04.16
  • 심사 : 2024.06.26
  • 발행 : 2024.08.31
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초록

Objectives: This study aimed to evaluate the association between use of direct oral anticoagulants (DOACs) and post-extraction bleeding and to quantify bleeding risk in patients receiving DOACs. Materials and Methods: The study included 293 patients who were taking DOACs and underwent tooth extraction (414 teeth). The patients were divided into those who had the extraction while taking DOACs and those who discontinued DOACs before the extraction. Bleeding complications were recorded and compared between the patient groups and types of DOACs. Results: Of the 293 patients, 12 patients (6.9%) had post-extraction bleeding. Post-extraction bleeding occurred in 12 of the 414 tooth extraction sites. Among the 246 patients who underwent dental extraction while continuing DOAC therapy, 12 patients (8.5%) had post-extraction bleeding. Among the 47 patients who underwent dental extraction after discontinuing the administration of DOACs, none reported post-extraction bleeding. There was no significant difference in the number of patients with post-extraction bleeding between the two groups (P=0.122). Conclusion: Continuing DOAC therapy during dental extraction does not increase post-extraction bleeding tendency. These results are consistent with those of previous studies.

키워드

과제정보

This work was supported by the Clinical Research Fund of the National Health Insurance Service Hospital (NHIMC-2022CR020).

참고문헌

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