Dental treatment of the patient with antiplatelet agent

Park,  Hongju

doi:2019.57.10.606

J Korean Dent Assoc > Volume 57(10); 2019 > Article

The Journal of The Korean Dental Association 2019;57(10):606-612.
DOI: https://doi.org/10.22974/jkda.2019.57.10.006 Published online October 31, 2019.

항혈소판제를 투여받는 환자의 치과치료

박홍주

전남대학교 치과병원 구강악안면외과

Dental treatment of the patient with antiplatelet agent

Hongju Park

Department of Oral and Maxillofacial Surgery, Chonnam National University Dental Hospital

Abstract

Antiplatelet agent is administered to the patients who have ischemic heart disease, transient cerebral infarction, as well as hypertension, etc. Antiplatelet agent prevents thromboembolism by inhibition of platelet aggregation by various mechanism. Due to that reason, patient who administered antiplatelet agent has bleeding tendency. Surgeon does not want to make a complication by bleeding during and after operation, and want to stop taking antiplatelet agent. However, It is very dangerous for the patient to stop antiplatelet agent. Local bleeding as a complication after operation is considered minor one, whereas thromboembolism is life threatening serious complication. Most dental intervention can be performed without withdrawal of antiplatelet agent. Dental intervention should be limited area, and surgeon should do active bleeding control.

Key Words: antiplatetlet agent;bleeding tendancy;dental treatment;