Abstract
The authors studied the influence of the medecine used for complicated diseases on the course of dental treatment. 20 eldery patients (average age 68.8) taking antiplatelet drugs were selected. The patients needed dental surgery: 33 times tooth extractions, and one time minor resection of a benign tumor on the tongue.2% Xylocaine ® (Lidocaine) (cotaining 1/80, 000 epinephrine) was used for local anesthesia. During surgery, monitoring (using 8 channel polygraph or automatic tonometer) was performed.
The following results were obtained.
1. The complicated diseases for antiplatelet were 8 cerebral infarctions, 5 myocardial infarctions, 5 angina pectoris, 4 atrial fiblilations, and one cardiomyopathy and hypertension. There were some patients with two complicated diseases.
2. Cases of simple use of antiplatelets outnumber the combination use. The quantity of antiplatelet drugs was small.
3. Postoperative bleeding was prevented by suturing and longer Pressure of the wound. Only one patient had postoperative bleeding without suturing.
4. Dentist must be aware of the development of antiplatelet drugs.
