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Delayed bleeding after implant surgery in patients taking novel oral anticoagulants: a case report

Authors
 Chihun Kim  ;  Chugeum Dam  ;  Jieun Jeong  ;  Eun-Jung Kwak  ;  Wonse Park 
Citation
 Journal of Dental Anesthesia and Pain Medicine, Vol.17(2) : 143-147, 2017 
Journal Title
 Journal of Dental Anesthesia and Pain Medicine 
ISSN
 2383-9309 
Issue Date
2017
Keywords
Anticoagulants ; Bleeding ; Dental Implants ; Emergencies ; Rivaroxaban
Abstract
The use of novel oral anticoagulants (NOACs) has increased in recent times in an effort to overcome the shortcomings of warfarin. They are being used primarily for the prevention of thrombosis caused by atrial fibrillation and offer the advantages of having fewer drug interactions than warfarin, no dietary restrictions, and no requirement for regular blood tests. Although there is reportedly less postoperative bleeding even if the drug is not discontinued during procedures that can cause local bleeding, such as dental procedures, no well-designed clinical studies have assessed postoperative bleeding associated with the use of these drugs. This article reports a case of a 74-year-old male patient who was taking rivaroxaban. The patient underwent a dental implant procedure after discontinuing rivaroxaban for one day and subsequently suffered delayed bleeding on postoperative day 6. Accordingly, this article also reports that the use of NOACs may also lead to delayed bleeding.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161183
DOI
10.17245/jdapm.2017.17.2.143
Appears in Collections:
1. Journal Papers (연구논문) > 2. College of Dentistry (치과대학) > Dept. of Advanced General Dentistry (통합치의학과)
Yonsei Authors
곽은정(Kwak, Eun Jung) ; 박원서(Park, Wonse) ; 정지은(Jeong, Jieun)
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