Calcium sulphate for control of bleeding after oral surgery in anticoagulant therapy patients

Luca Oberti, A. Piva, G. Beltramini, V. Candotto

Research output: Contribution to journalArticlepeer-review

Abstract

Control of bleeding after oral surgery is mandatory in patients taking anticoagulants. There are different haemostatic measures to prevent post-surgical bleeding. The aim of the present paper is to study the use of a haemostatic agent, calcium sulphate (CaS) (P30, Ghimas, Bologna, Italy) for controlling post-surgical bleeding in a group of patients treated with warfarin therapy for thromboembolic states. Twenty teeth (12 mandibular molars, 8 maxillary molars) in 20 patients (14 male and 6 females) with a mean age of 54.3 years (±10.3 years) were included in the study. The patients were divided into 2 groups; in the study group of 10 patients calcium sulphate was used in layers to fill the socket after extraction, while for the 10 patients in the control group put a gauze with tranexamic acid was put in the extraction site immediately after extraction, and half an hour after extraction. The outcome was bleeding in subsequent days. Bleeding at post-operative day 1 was significant in 5 patients of the control group, however, in the study group treated with calcium sulfate there was no bleeding in any patient (p value 0.0055). CaS demonstrated to be a good haemostatic agent for controlling bleeding after oral surgery in patients taking anticoagulants.

Original languageEnglish
Pages (from-to)109-113
Number of pages5
JournalJournal of Biological Regulators and Homeostatic Agents
Volume34
Issue number1
Publication statusPublished - Jan 1 2020

Keywords

  • Anticoagulants
  • Bleeding
  • Calcium sulphate
  • Haemostasis
  • Thromboembolic states
  • Warfarin

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Immunology and Allergy
  • Physiology
  • Immunology
  • Oncology
  • Endocrinology
  • Physiology (medical)
  • Cancer Research

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