TREATING PATIENTS ON BLOOD THINNERS
How Blood Thinners Affect Oral Surgery
We are all living longer and in many cases living healthier lives into older age. Daily aspirin and the use of blood thinners have helped to improve and prolong life for many people. This seems to be especially true for patients who have undergone advanced surgical procedures, such as valve replacement and vessel repair which has become commonplace. As someone who is regularly performing surgical procedures on these patients, we find ourselves in a position where we have to work around these bleeding concerns and bleeding tendencies. The good news is that we have gotten good at it and with some relatively simple advanced techniques, we can perform many of our procedures even without taking the patients off of their anticoagulants.
Techniques for Minimizing Bleeding in Oral Surgery
On a very basic level, inflammation tissues tend to bleed more. Following this, just being more thorough in cleaning out infection and inflammation tissues at extraction or oral surgical sites helps to reduce the tendency of those tissues to bleed. Control of bleeding points requires proper surgical training and instrumentation. Other procedures that allow us to better suture a surgical site such as soft tissue management can make a big difference. There are also medications and materials that we can use at the surgical sites which promote clotting and the stability of clots to allow for proper healing. The ability to control anxiety during the procedures with proper anesthesia and medication helps to keep blood pressure down and in this way also minimizes bleeding. All of these measures, often used together, allow us to provide safe and effective care.
Skilled Oral Surgery Team in Milwaukee
For a consultation, call Wagner Oral Surgery and Dental Implant Specialists at (262) 634-4646 today! Our professional, experienced oral surgeon will take excellent care of you.
(Ref. J Oral Maxillofac Surg 70:2732-2741, 2012)
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