Manejo do paciente em cirurgia oral sob terapia modificadora da hemostasia: recomendações atuais

Abstract

Introduction: Hemostasis is the balance of the flow of blood within the vessel without overflow or coagulate. In some situations this balance can be changed, among these the continued use of anticoagulants and antiplatelet agents for prevention of thromboembolic events. Traditionally withdrew the previously therapy oral surgery to prevent possible bleeding during and after surgery. The objective of this work was to seek scientific evidence that give support for decision-making as the interruption or not modifying therapy hemostasis in oral surgery. Methods: We performed a literature in clinical trials and review articles for databases Medline / PubMed, academic google and periodicals Capes. Conclusion: it can be concluded that current evidence suggests that minor oral surgery can be performed safely in patients using modifiers hemostasis drug, subject to compliance with the appropriate level of INR hemostasis and local measures are taken.