EFFECT OF COLLAPLUG® ON THE HEALING OF EXTRACTION SOCKETS IN PATIENTS UNDER ORAL ANTICOAGULANT THERAPY (CLINICAL STUDY)

Abdelaziz, M; Shaaban, R; Abdelhalim, S; Sadaka, M

doi:10.21608/adjalexu.2015.59145

EFFECT OF COLLAPLUG® ON THE HEALING OF EXTRACTION SOCKETS IN PATIENTS UNDER ORAL ANTICOAGULANT THERAPY (CLINICAL STUDY)

Document Type : Original Article

Authors

Resident in Maxillofacial and Plastic Surgery Department, Faculty of Dentistry, Alexandria University.

10.21608/adjalexu.2015.59145

Abstract

Introduction: Dentists perform a variety of surgical procedures frequently requiring the need for a hemostatic agent, in cases where oral
anticoagulants are used. Most cases of postoperative bleeding are easily treated with local measures such as packing with a haemostatic dressing,
suturing and pressure.
Objectives: We aimed to evaluate the efficacy of Collaplug® in minimizing postoperative bleeding and pain following tooth extraction in patients
under oral anticoagulant therapy.
Materials and methods: A prospective study was conducted on a total of 40 adult patients under oral anticoagulant therapy, who needed tooth
extraction. Patients were divided equally into two groups, each group consisting of 20 patients. Group A (Study group): the extraction of the tooth
was followed by the application of Collaplug® prior to suturing of the socket. Group B (Control group): the extraction of the tooth was followed by
suturing only.
Results: A total of 40 patients 21 female (52%) and 19 (48%) male, aged between 30 and 60 years were included in the present study. All patients
underwent simple tooth extraction. In the study group: there was a clinical significance in cessation of bleeding 2 hours and 6 hours after extraction
than the control group. All patients of study and control groups had their international normalized ratio (INR)Conclusion:
The study concluded that Collaplug® is an effective local hemostatic material following minor oral surgery in patients under oral anticoagulant
therapy, also shows acceleration of soft tissue healing and reduce postoperative pain.

Keywords

Main Subjects

Oral and maxillofacial surgery

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