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http://hdl.handle.net/2445/209602
Title: | Clinical practice guideline of the spanish society of oral surgery for oral surgery in patients with coagulation disorders. |
Author: | Machuca Portillo, Guillermo Valenzuela-Mencia, Javier Serrera-Figallo, María Ángeles Torres-Lagares, Daniel Sánchez-Fernández, Elena Valmaseda Castellón, Eduardo Peñarrocha Diago, María Fernández-Mosteirín, Nuria Somoza-Martin, José Manuel Pérez Jardón, Alba Chamorro-Petronacci, Cintia Micaela García-García, Abel |
Keywords: | Anticoagulants (Medicina) Coagulació sanguínia Cirurgia oral Anticoagulants (Medicine) Blood coagulation Oral surgery |
Issue Date: | 1-Jan-2024 |
Publisher: | Medicina Oral SL |
Abstract: | Background: The number of patients treated with coagulation disorders, and more specifically with anticoagulant therapy, has increased worldwide in recent years due to increased life expectancy in developed countries. The protocols for managing this type of patient in oral surgery has varied over recent years, especially after the appearance of new direct-acting oral anticoagulants (DOACs). The assessment of risk of bleeding in this type of patient when undergoing a surgical procedure continues to be a controversial issue for patients, dentists and general practitioners. The objective of this document is to offer recommendations, based on evidence, for decision making for patients with coagulopathies who require dental surgical intervention. Material and methods: Based on the indications of the "Preparation of Clinical Practice guidelines in the National Health System. Methodological manual", we gathered a group of experts who agreed on 15 PICO questions based on managing patients with coagulation disorders in dental surgical procedures, such as fitting of implants or dental extractions. Results: The 15 PICO questions were answered based on the available evidence, being limited in most cases due to the lack of a control group. Two of the PICO questions were answered by the experts with a grade C recommendation, while the rest were answered with grade D. Conclusions: The results of this review highlight the need to undertake well designed clinical trials with control groups and with a representative sample size. |
Note: | Reproducció del document publicat a: https://doi.org/10.4317/medoral.26063 |
It is part of: | Medicina Oral, Patología Oral y Cirugía Bucal, 2024, vol. 29, num.1, p. e58-e66 |
URI: | http://hdl.handle.net/2445/209602 |
Related resource: | https://doi.org/10.4317/medoral.26063 |
ISSN: | 1698-4447 |
Appears in Collections: | Articles publicats en revistes (Odontoestomatologia) |
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