Nowadays, oral anticoagulants are commonly prescribed to numerous patients for preventing cardiovascular accident such as thromboembolism. An important side effect of anticoagulant is anti-hemostasis. In a major surgery, the oral anticoagulant therapy (OAT) regimen must be changed before the surgery for proper post-operative bleeding control. However, in a minor dental surgery and endodontic surgery, the necessity for changing or discontinuing the OAT is open to debate. In this study, risks of the consequences were weighed and analyzed. In patients who stop the OAT, the occurrence of thromboembolic complication is rare but the result is fatal. In patients who continuing the OAT, post-operative bleeding can be controlled well with the local hemostatic measures. In the endodontic surgery, there are almost no studies about this issue. The intra-operative bleeding control is particularly important in the endodontic surgery because of its delicate and sensitive procedures such as inspection of resected root surface using dental microscope and retrograde filling. Further studies are necessary about this issue in the viewpoint of endodontic surgery.

Citations

Citations to this article as recorded by  

• Expert consensus on apical microsurgery
  Hanguo Wang, Xin Xu, Zhuan Bian, Jingping Liang, Zhi Chen, Benxiang Hou, Lihong Qiu, Wenxia Chen, Xi Wei, Kaijin Hu, Qintao Wang, Zuhua Wang, Jiyao Li, Dingming Huang, Xiaoyan Wang, Zhengwei Huang, Liuyan Meng, Chen Zhang, Fangfang Xie, Di Yang, Jinhua Yu
  International Journal of Oral Science.2025;[Epub]     CrossRef
• Management of Patients Receiving Anticoagulation Therapy in Dental Practice: A Systematic Review
  Francesco Inchingolo, Angelo Michele Inchingolo, Fabio Piras, Laura Ferrante, Antonio Mancini, Andrea Palermo, Alessio Danilo Inchingolo, Gianna Dipalma
  Healthcare.2024; 12(15): 1537.     CrossRef
• Hemostatic Alginate/Nano-Hydroxyapatite Composite Aerogel Loaded with Tranexamic Acid for the Potential Protection against Alveolar Osteitis
  Mai El Halawany, Randa Latif, Mohamed H. H. AbouGhaly
  Pharmaceutics.2022; 14(10): 2255.     CrossRef
• Perioperative Antiplatelet and Anticoagulant Management with Endodontic Microsurgical Techniques
  Anita Aminoshariae, Mark Donaldson, Michael Horan, James C. Kulild, Dale Baur
  Journal of Endodontics.2021; 47(10): 1557.     CrossRef
• Administration of Coagulation-Altering Therapy in the Patient Presenting for Oral Health and Maxillofacial Surgery
  Thomas M. Halaszynski
  Oral and Maxillofacial Surgery Clinics of North America.2016; 28(4): 443.     CrossRef
• Biologic response of local hemostatic agents used in endodontic microsurgery
  Youngjune Jang, Hyeon Kim, Byoung-Duck Roh, Euiseong Kim
  Restorative Dentistry & Endodontics.2014; 39(2): 79.     CrossRef
• Cardiovascular effect of epinephrine in endodontic microsurgery: a review
  Youngjune Jang, Euiseong Kim
  Restorative Dentistry & Endodontics.2013; 38(4): 187.     CrossRef