Int J Stomatol

Int J Stomatol ›› 2025, Vol. 52 ›› Issue (5): 670-676.doi: 10.7518/gjkq.2025090

• Reviews • Previous Articles     Next Articles

Management of patients undergoing basic periodontal therapy while receiving antithrombotic drugs

Ran Zhu(),Jing Yan,Weibin Sun,Wenlei Wu,Yu Liu()   

  1. Dept. of Advanced Specialist Clinic, Nanjing Stomatological Hospital, Affiliated Stomatological Hospital of Medical School, Nanjing University, Institute of Stomatology, Nanjing University, Nanjing 210008, China
  • Received:2024-09-19 Revised:2025-03-05 Online:2025-09-01 Published:2025-08-27
  • Contact: Yu Liu E-mail:1027709099@qq.com;lyyvette@163.com
  • Supported by:
    General Program of National Natural Science Foundation of China(51972167);Jiangsu Provincial Cadre Health Care Research Projects(BJ21006);"3456" Cultivation Program for Junior Talents of Nanjing Stomatological Hospital, Medical School of Nanjing University(0222E304);Nanjing Health Science and Technology Development Special Fund Project(GAX24300)

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Abstract:

Periodontal disease is a common chronic inflammatory disease of the oral cavity. Although dentists are experienced in the management of periodontal disease, the treatment of patients receiving long-term antithrombotic therapy presents additional challenges because of their often complex systemic conditions and considerable interindividual varia-bility. The management of antithrombotic medications prior to basic periodontal therapy remains a subject of ongoing debate. In clinical practice, patients may independently alter their medication regimens, frequently underestimating the increased risk of thrombotic events associated with the discontinuation of these drugs. Comprehensive risk assessment prior to initiating periodontal therapy is essential to minimize bleeding and thrombotic complications. This article reviews current strategies for developing individualized periodontal treatment plans, outlines precautions related to antithrombotic drug use, and discusses the management of intraoperative and postoperative bleeding. The aim is to support clinicians in formulating rational and patient-specific approaches to basic periodontal treatment for individuals on antithrombotic the-rapy.

Key words: periodontal disease, basic periodontal therapy, antithrombotic drug

CLC Number: 

  • R781.4

TrendMD: 
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