Preventing the risk of bleeding in patients taking the anticoagulants aspirin and warfarin Oral Health
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 40 and 75 years. 2. Patients use aspirin at a daily dose of 80 mg or oral warfarin. 3. Patients using warfarin must have a stable INR value within the therapeutic range (2-3.5) [23]. 4. Obtaining written informed consent from all participants, with their commitment to maintaining the anticoagulant doses unchanged throughout the study period. 5. Requirement for simple tooth extractions of paired teeth, without the need for complex surgical intervention.
Exclusion criteria
Exclusion criteria: 1. Presence of uncontrolled systemic diseases that contraindicate tooth extraction. 2. Participation in other clinical trials during the study period is necessary to avoid treatment overlap and influence on results. 3. Unstable INR, where patients with fluctuations in INR outside the required therapeutic range (2-3.5) before extraction or during follow-up were excluded. 4. Severe alcohol or tobacco dependence due to their negative effects on wound healing post-extraction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Bleeding severity is measured using the VIBe scale at baseline, day 3, and day 7 2. Gingival healing is measured using the Gingival Healing Index (GHI) at day 3 and day 7 3. Pain intensity is measured using the Visual Analogue Scale (VAS) at baseline, day 3, and day 7 4. Late bleeding occurrence is measured using clinical observation at 24 hours after extraction | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
India, Iran, Iraq, Jordan, Kuwait, Lebanon, Morocco, Syria