Aspirin and oral surgery

Ochyra Dorota, Bałabuszek Kamil, Pawlicki Mateusz, Pawlicka Marta, Mroczek Anna, Ochyra Bartłomiej. Aspirin and oral surgery. Journal of Education, Health and Sport. 2018;8(9):1010-1015. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1419782

http://ojs.ukw.edu.pl/index.php/johs/article/view/5995

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© The Authors 2018;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

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Received: 02.09.2018. Revised: 12.09.2018. Accepted: 15.09.2018.

Aspirin and oral surgery

Dorota Ochyra¹, Kamil Bałabuszek¹, Mateusz Pawlicki¹, Marta Pawlicka¹, Anna Mroczek¹, Bartłomiej Ochyra²

¹ Chair and Department of Epidemiology and Clinical Research Methodology, Medical

University of Lublin, Poland

² Dział Bezpieczeństwa Farmakoterapii, Teva Pharmaceuticals Polska, Warszawa

Corresponding author: Dorota Ochyra, e-mail: dorota.sikorska@hotmail.com

ORCID ID

Dorota Ochyra https://orcid.org/0000-0002-8076-5622

Kamil Bałabuszek https://orcid.org/0000-0002-1352-153X

Mateusz Pawlicki https://orcid.org/0000-0001-8318-6573

Marta Pawlicka https://orcid.org/0000-0002-6631-979X

Anna Mroczek https://orcid.org/0000-0003-0077-5343

Bartłomiej Ochyra https://orcid.org/0000-0003-1832-5164

Abstract

Introduction: Acetylsalicylic acid (aspirin, ASA) belongs to nonsteroidal anti-inflammatory drugs group (NSAIDs), characterized by analgesic, antipyretic, anti-inflammatory properties. ASA blocks production of prostaglandins and thromboxanes due to non-competitive irreversible inactivation of cyclooxygenase 1 enzyme (COX1). Nowadays, ASA is most commonly used to inhibit platelet function and to reduce the risk of thrombotic events.

The aim of the study: The purpose of this narrative systemic review was to analyse and

summarize available data on necessity of acetylsalicylic acid cessation before oral surgery.

Material and method: Standard criteria were used to review the literature data. The search of articles in the PubMed and Google Scholar databases was carried out using the following

key words: acetylsalicylic acid, oral health, oral surgery.

Description of knowledge: According to some medical practitioners dosing acetylsalicylic acid (ASA) before tooth extraction should be stopped because of fear of bleeding complications. However, the cessation of aspirin may predispose patients to thromboembolic events. Most of the data indicates more benefits from continuation aspirin taking than treatment discontinuation.

Summary: According to actual knowledge and conducted researches there is no need to stop dosing aspirin before oral surgery. The benefits of using aspirin are greater than the risk of bleeding.

Key words: acetylsalicylic acid, aspirin, bleeding, oral surgery