From: Should oral anticoagulant therapy be continued during dental extraction? A meta-analysis
Study | Group | INR (mean/range) | Intervention method | Number of extraction | Follow up | Bleeding outcomes |
---|---|---|---|---|---|---|
Borea (1993) [21] | T: continued OAT. C: discontinued OAT. | T: 3–4.5 C: 1.5–2.5 | T: Sutures and TA irrigation at surgery and MS for 7 day. C: Sutures and physiologic irrigation at surgery and MS for 7 days. | Single dental | 7 days | Day 1: Spontaneous bleedings T: 1/15 C:2/15 Induced bleedings T:1/15 C:0/15 Day 2 to day 7: none |
Evans (2002) [16] | T: continued OAT. C: discontinued OAT 2 days before extractions and resumed on the same day. | T: 2.5(1.2–4.7) C: 1.6(1.2–2.3) | All groups: Oxycellulose dressing and sutures for all patients. | T: 2(1–7) C: 3(1–9) | 7 days | Postoperative bleeding T:15/57 C:7/52 |
Devani (1998) [7] | T: continued OAT. C: discontinued OAT 2 days before extractions. | T: 2.7(2.2–3.9) C: 1.6(1.2–2.1) | All groups: Placing haemostatic pack and sutures. | T: 2.1(1–9) C: 2(1–9) | 5 days | Minor bleeding: Day 1 T:0/33 C:0/32 Day 2 T:0/33 C:1/32 Day 3 T:1/33 C:0/32 Day 4 to day 5:none |
Gaspar (1997) [23] | T: continued OAT C: discontinued OAT 3 days before and resumed the same day | T: 2.5(1.9–3.5) C: 1.4(1.3–1.9) | All groups: Sutures and TA irrigation at surgery and MS for 2 min.MS for 7 days postoperativedays | NR | 7 days | Postoperative bleeding T:2/32 C:1/15 |
Al-Mubarak (2007) [4] | T: continued OAT (group2 no sutures,group4 sutures). C: discontinued OAT 2 days before and resumed 12 h after dental extractions (group1 no sutures, group 3 sutures). | T: 1.85(1.4–2.3) C:2.55(1.9–3.1) | Local pressure (all) and sutures (group 3 and 4). | All patients range 1–5, single extraction (63.3) two teeth (25 %), three teeth (7.5 %) four teeth (3.3 %) and five teeth (0.8 %). | 7 days | Postoperative bleeding T:8/110 C:7/114 |
Duan XQ (2010) [22] | T: continued OAT. C: discontinued OAT 3 days before and resumed the next day. | ALL: 1.80–2.67 | All groups: Local pressure and sutures. | T:1.5(1–5) C:1.3(1–5) | 1 day | Postoperative bleeding T:6/67 C:5/49 |