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Direct Oral Anticoagulants and Management of Blleding Following Dental Extractions. A Prospective Cohort Study.

Completed
Conditions
Post Operative Hemorrhage
Registration Number
NCT06365242
Lead Sponsor
University of Pisa
Brief Summary

Evaluation of DOACs treatment on post-extraction bleeding

Detailed Description

Consecutive patients requiring at least one dental extraction were enrolled. DOACs regimen was either maintained or suspended. Patients were classified in subgroups depending on the number of teeth extracted per procedure (≤ 3 or \> 3), the need for flap raising and the performance of osteotomy. Bleeding was recorded intraoperatively, perioperatively at 20, 40, 60 and 80 minutes after the procedure, and in the first seven days post-operatively.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
49
Inclusion Criteria
  • age >18 years
  • patients under pharmacological treatment with DOACs
  • patients requiring at least one dental extraction
  • patients willing to take part in the study and to sign informed consent
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Exclusion Criteria
  • patients below 18 years of age
  • patients treated with antiplatelet therapy or vitamin K antagonists
  • patients presenting with an International Normalized Ratio (INR) >3.0
  • patients suffering from congenital or acquired coagulopathies (e.g. haemophilia, coagulation factors deficiency, von Willebrand disease, thrombocytopenia, cirrhosis)
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Peri-operative hemorrhage20 minutes to 80 minutes

Evaluation of early post-operative hemorrhage classified as absent, mild, oozing, moderate, and severe.

Post-operative bleedingday 1 to 7 post-operatively

Evaluation of post-operative bleeding classified as absent, mild, oozing, moderate, and severe.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

U.O. Odontostomatologia e Chirurgia del Cavo Orale

🇮🇹

Pisa, Italy

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