JADA February 2018
Perioperative bleeding complications of ticagrelor, a newer
oral antiplatelet, has not been studied in dentistry. Studies about bleeding
status after oral surgical procedures in patients receiving continued
antiplatelet therapy are also limited. We investigated the effects of continuing
aspirin, clopidogrel, ticagrelor, or dual antiplatelet therapy on the frequency
of bleeding events in patients undergoing tooth extractions or minor oral
surgery. In this retrospective study, patient demographic characteristics,
medical history, type of antiplatelet therapy, dental procedures, and
perioperative bleeding associated with tooth extraction or other minor oral
surgical procedures were obtained from the dental records of 222 patients.
Bleeding was classified as normal, mild, moderate, or severe.
Key Words: Bleeding; dual antiplatelet therapy; surgery; tooth extraction;
aspirin; clopidogrel; ticagrelor.