Survey of the relation cost/safety for patients treated by antivitamines K in oral surgery

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SUMMARY Dental surgeons have 3 possibilities before a dental extraction when the patient is hypo coagulated by an AVK: stop the treatment, change it by a heparin therapy or change nothing. Risks for the patient are the risk of embolism and the haemorrhagic risk. This study simulates the different costs and safety of the extraction of an included tooth according to the protocol used for management of the oral anticoagulation treatment. The first option is very dangerous for the patient because of the extremely serious risk of embolism. This option is not cheaper than the others because of the difficulty to balance the INR after the resumption of the treatment. A lot of biological exams are necessary. medecine buccale chirurgie buccale

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.