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1.
J Clin Exp Dent ; 12(5): e509-e513, 2020 May.
Article in English | MEDLINE | ID: mdl-32509235

ABSTRACT

Angina bullosa hemorrhagica (ABH) is a rare oral disorder characterized by blood-filled bullous lesions in the oral cavity and the oropharynx in the absence of an underlying systemic, haematological or mucocutaneous condition. The presentation of the lesions is acute and located on the lining mucosa, mainly on the soft palate. Often, these lesions are single and rupture easily leaving an ulcerated area. In this study, we present 4 ABH cases in 3 women and 1 man and we discuss the main clinicopathological characteristics. The characteristics of this disorder are important to recognize in order to differentiate the lesions from other oral bullous conditions of the oral cavity such as mucocutaneous disorders or blood coagulation disorders. Key words:Angina bullosa hemorrhagica, angina bullosa haemorrhagica, oral blisters.

6.
Med. oral patol. oral cir. bucal (Internet) ; 14(11): 588-592, nov. 2009. tab, ilus
Article in English | IBECS | ID: ibc-77330

ABSTRACT

Objectives: Antiplatelet drugs are used to treat and prevent a wide range of cardiovascular pathologies and/orcerebrovascular accidents. Although the use of anticoagulants in dental extractions is highly protocolized, a clearcontrol method has not yet been established for antiplatelet drugs. This study is directed at evaluating the clinicalconsequences of extractions in patients on antiplatelet therapy. Study design: The Oral Health Department ofthe Navarre Health Service-Osasunbidea conducted a trial on 155 patients who underwent dental extractions andwere receiving antiplatelet therapy. The patients were not requested to interrupt the medication and local measureswere taken to control potential haemorrhage. Results: No major haemorrhages were reported. One patient had amoderate haemorrhage that required emergency care. In the remaining patients the bleeding was controlled withlocal measures. With regard to subsequent bleeding, no differences were observed between the various antiplateletdrugs used. The only statistically significant relationship found was between bleeding and the number of teethextracted. Conclusions: It can be concluded that no more than 3 teeth should be removed at any one time, and formultiple extractions, the teeth should be adjacent to each other (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Platelet Aggregation Inhibitors/therapeutic use , Postoperative Hemorrhage/epidemiology , Tooth Extraction , Risk Factors , Spain
7.
Med Oral Patol Oral Cir Bucal ; 14(11): e588-92, 2009 Nov 01.
Article in English | MEDLINE | ID: mdl-19680200

ABSTRACT

OBJECTIVES: Antiplatelet drugs are used to treat and prevent a wide range of cardiovascular pathologies and/or cerebrovascular accidents. Although the use of anticoagulants in dental extractions is highly protocolized, a clear control method has not yet been established for antiplatelet drugs. This study is directed at evaluating the clinical consequences of extractions in patients on antiplatelet therapy. STUDY DESIGN: The Oral Health Department of the Navarre Health Service-Osasunbidea conducted a trial on 155 patients who underwent dental extractions and were receiving antiplatelet therapy. The patients were not requested to interrupt the medication and local measures were taken to control potential haemorrhage. RESULTS: No major haemorrhages were reported. One patient had a moderate haemorrhage that required emergency care. In the remaining patients the bleeding was controlled with local measures. With regard to subsequent bleeding, no differences were observed between the various antiplatelet drugs used. The only statistically significant relationship found was between bleeding and the number of teeth extracted. CONCLUSIONS: It can be concluded that no more than 3 teeth should be removed at any one time, and for multiple extractions, the teeth should be adjacent to each other.


Subject(s)
Platelet Aggregation Inhibitors/therapeutic use , Postoperative Hemorrhage/epidemiology , Tooth Extraction , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Risk Factors , Spain
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