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Considerations for Anticoagulation and Endocarditis Risk in Invasive Dental Procedures: Expert Approaches and Preventive Strategies

김성태|조영단|김현경
대한노년치의학회 (The Korean Academy of Geriatric Dentistry)|2023.12|대한노년치의학회지 (Journal of The Korean Academy of Geriatric Dentistry)|제19권 제2호|pp. 72-78|DOI 10.23276/jkagd.2023.19.2.005

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참고문헌

키워드

Cardiovascular diseasesAntibiotic prophylaxisAnticoagulantsWarfarinDirect oral anticoagulant(DOAC)Infective endocarditisInvasive dental proceduresThromboembolism events

초록

Cardiovascular diseases are globally prevalent conditions with high mortality and morbidity rates. As the elderly population increases, the proportion of individuals affected by these diseases is on the rise. In line, dentists frequently encounter patients taking anticoagulants for cardiovascular conditions and those at a higher risk of infective endocarditis due to heart valverelated issues. Dentists need to be mindful of considerations during invasive dental procedures. For individuals at a high risk of infective endocarditis, preventive antibiotic therapy, regular dental check-ups and oral hygiene management are essential. Although, temporary discontinuation of anticoagulant therapy has been done to reduce bleeding risk, it is recommended not to stop anticoagulation due to the increased risk of thromboembolic events, which can lead to death. Instead, employing local methods such as appropriate hemostatic agents is advisable.

Abstract

Cardiovascular diseases are globally prevalent conditions with high mortality and morbidity rates. As the elderly population increases, the proportion of individuals affected by these diseases is on the rise. In line, dentists frequently encounter patients taking anticoagulants for cardiovascular conditions and those at a higher risk of infective endocarditis due to heart valverelated issues. Dentists need to be mindful of considerations during invasive dental procedures. For individuals at a high risk of infective endocarditis, preventive antibiotic therapy, regular dental check-ups and oral hygiene management are essential. Although, temporary discontinuation of anticoagulant therapy has been done to reduce bleeding risk, it is recommended not to stop anticoagulation due to the increased risk of thromboembolic events, which can lead to death. Instead, employing local methods such as appropriate hemostatic agents is advisable.

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관련 논문AI추천

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