MANEJO DE LA EXTRACCIÓN DENTAL EN PACIENTES SOMETIDOS A TERAPIA ANTICOAGULANTE: UNA REVISIÓN DE LA LITERATURA

  • Jessica Micaela Yamunaque Vire Autor
Palabras clave: warfarina, Anticoagulantes, Anticoagulante oral directo, Extracción dental, Cirugía oral

Resumen

En los últimos años la extracción de piezas dentales en pacientes que consumen anticoagulantes ha aumentado, y con ello también la necesidad de nuevos estudios que nos permitan conocer cómo abordar dichos casos. La terapia anticoagulante oral se utiliza para prevenir enfermedades de tipo tromboembólico. Entre los anticoagulantes tenemos los Antagonistas de la vitamina K y los Anticoagulantes directos orales. El objetivo de este estudio es analizar el tipo de manejo que necesita un paciente anticoagulado, además de las limitaciones, indicaciones y medidas hemostáticas para la extracción dental en estos pacientes. Se realizó una búsqueda en las bases digitales de Pubmed, Science Direct, Cochrane y SciELO, obteniendo un total de 2176 artículos que luego de la implementación de criterios de inclusión y exclusión dio como resultado 59 artículos para esta revisión bibliográfica. El manejo en estos pacientes debe realizarse con suma cautela tomando en cuenta su estado sistémico, se realizará la extracción de manera segura sin suspensión ni modificación del medicamento, cuando se ha planificado la intervención quirúrgica con una técnica atraumática de una a tres piezas y el INR es ≤3.5. Es fundamental para el odontólogo tener el conocimiento actualizado del trato a pacientes anticoagulados y sus complicaciones hemorrágicas.

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Citas

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Publicado
2021-05-12
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Cómo citar
Yamunaque Vire, J. (2021). MANEJO DE LA EXTRACCIÓN DENTAL EN PACIENTES SOMETIDOS A TERAPIA ANTICOAGULANTE: UNA REVISIÓN DE LA LITERATURA. Odontología Activa Revista Científica, 6(2), 27-36. https://doi.org/10.31984/oactiva.v6i2.566
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Artículos de revisión bibliográfica