EXODONTIA EM PACIENTES SOB TERAPIA ANTICOAGULANTE: COMPLICAÇÕES, CONDUTAS E DESFECHOS.

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Authors: Anne Karoline de Moura, Erika da Silva Santos, Kelly Cristina Sousa Alencar, Sarah Santos Alcântara, Diego Sindeaux Figueira
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Abstract

ABSTRACT Tooth extraction is a widely performed dental surgical procedure, even in a hospital setting, and is essential for maintaining oral and systemic health. In hospitalized patients, especially those admitted to Intensive Care Units (ICUs), the presence of a dentist is fundamental to prevent oral infections that can worsen their clinical condition. However, many of these patients use systemic anticoagulant therapies, employed in the prevention and treatment of thromboembolic events, which increases the risk of bleeding during invasive procedures. Therefore, performing tooth extractions in anticoagulated patients represents a clinical challenge, as it requires a balance between hemorrhagic control and the prevention of thrombotic events. This integrative review aims to analyze the recommended dental procedures for performing tooth extractions in hospitalized patients undergoing anticoagulant therapy, as well as to identify the main associated complications and stages. The goal is to gather and discuss the available evidence in the literature, contributing to the standardization of safe and effective practices in the context of hospital dentistry. Keywords: Tooth extraction. Anticoagulants. Hospital Dental Service. Dental General Practice. Review

Fields of Study & Subjects

Atrial Fibrillation Management and Outcomes Antiplatelet Therapy and Cardiovascular Diseases Venous Thromboembolism Diagnosis and Management

Publication details

Journal / source
Revista fisio&terapia.
Volume
30
Issue
154
Pages
47–48
Publication date
15 January 2026