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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implant surgery and oral anticoagulant therapy: case report</title><author><name sortKey="Miranda, M" sort="Miranda, M" uniqKey="Miranda M" first="M." last="Miranda">M. Miranda</name><affiliation><nlm:aff id="af1-51-56">Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy</nlm:aff></affiliation></author><author><name sortKey="Bollero, P" sort="Bollero, P" uniqKey="Bollero P" first="P." last="Bollero">P. Bollero</name><affiliation><nlm:aff id="af2-51-56">Department of Systems Medicine, University of Rome “Tor Vergata”, Rome, Italy</nlm:aff></affiliation></author><author><name sortKey="D Vidio, N" sort="D Vidio, N" uniqKey="D Vidio N" first="N." last="D Vidio">N. D Vidio</name><affiliation><nlm:aff id="af1-51-56">Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy</nlm:aff></affiliation></author><author><name sortKey="Marsango, V" sort="Marsango, V" uniqKey="Marsango V" first="V." last="Marsango">V. Marsango</name><affiliation><nlm:aff id="af1-51-56">Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy</nlm:aff></affiliation></author><author><name sortKey="Barlattani, A" sort="Barlattani, A" uniqKey="Barlattani A" first="A." last="Barlattani">A. Barlattani</name><affiliation><nlm:aff id="af1-51-56">Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25694802</idno><idno type="pmc">4302744</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4302744</idno><idno type="RBID">PMC:4302744</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001B07</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001B07</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Implant surgery and oral anticoagulant therapy: case report</title><author><name sortKey="Miranda, M" sort="Miranda, M" uniqKey="Miranda M" first="M." last="Miranda">M. Miranda</name><affiliation><nlm:aff id="af1-51-56">Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy</nlm:aff></affiliation></author><author><name sortKey="Bollero, P" sort="Bollero, P" uniqKey="Bollero P" first="P." last="Bollero">P. Bollero</name><affiliation><nlm:aff id="af2-51-56">Department of Systems Medicine, University of Rome “Tor Vergata”, Rome, Italy</nlm:aff></affiliation></author><author><name sortKey="D Vidio, N" sort="D Vidio, N" uniqKey="D Vidio N" first="N." last="D Vidio">N. D Vidio</name><affiliation><nlm:aff id="af1-51-56">Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy</nlm:aff></affiliation></author><author><name sortKey="Marsango, V" sort="Marsango, V" uniqKey="Marsango V" first="V." last="Marsango">V. Marsango</name><affiliation><nlm:aff id="af1-51-56">Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy</nlm:aff></affiliation></author><author><name sortKey="Barlattani, A" sort="Barlattani, A" uniqKey="Barlattani A" first="A." last="Barlattani">A. Barlattani</name><affiliation><nlm:aff id="af1-51-56">Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy</nlm:aff></affiliation></author></analytic><series><title level="j">Oral & Implantology</title><idno type="ISSN">1974-5648</idno><idno type="eISSN">2035-2468</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>SUMMARY</title><sec><title>Objectives.</title><p>This work aims to assess the risks both thromboembolic that bleeding of a management protocol “non-conservative” in patients on oral anticoagulant therapy (OAT) to be undergoing implant surgery.</p></sec><sec><title>Materials and methods.</title><p>We decided to take a surgical “non-conservative” protocol, to insert four implants in the aesthetic zone, without using flapless surgery and the surgical template. In accordance with the hematologist, the value of INR is lowered and warfarin was replaced with heparin low molecular weight, to have a better coagulation’s control.</p></sec><sec><title>Results.</title><p>The modern guidelines impose a protocol of conservative management in patients with OAT, with minimally invasive surgery, flapless, and use of surgical template to reduce the risk of uncontrolled bleeding. This, thanks to the team-work between dentist and hematologist, thanks to careful adjustment of INR and the use of local haemostatic agents, were not encountered any problems with bleeding or intra or postoperative.</p></sec><sec><title>Conclusion.</title><p>Surgical treatment of patients with OAT is a real problem for the oral surgeon, to treat every time in association with the hematologist. Applying this type of surgical procedure, different from today’s guidelines, in our experience there were no post-operative complications (bleeding or bleeding); osseointegration has not been compromised and the prosthetic rehabilitation was completed successfully.</p></sec></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Oral Implantol (Rome)</journal-id><journal-id journal-id-type="iso-abbrev">Oral Implantol (Rome)</journal-id><journal-id journal-id-type="publisher-id">OAI</journal-id><journal-title-group><journal-title>Oral & Implantology</journal-title></journal-title-group><issn pub-type="ppub">1974-5648</issn><issn pub-type="epub">2035-2468</issn><publisher><publisher-name>CIC Edizioni Internationali</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25694802</article-id><article-id pub-id-type="pmc">4302744</article-id><article-id pub-id-type="publisher-id">51-56</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Implant surgery and oral anticoagulant therapy: case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>MIRANDA</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="af1-51-56"><sup>1</sup></xref><xref ref-type="corresp" rid="c1-51-56"></xref></contrib><contrib contrib-type="author"><name><surname>BOLLERO</surname><given-names>P.</given-names></name><xref ref-type="aff" rid="af2-51-56"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>D’OVIDIO</surname><given-names>N.</given-names></name><xref ref-type="aff" rid="af1-51-56"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>MARSANGO</surname><given-names>V.</given-names></name><xref ref-type="aff" rid="af1-51-56"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>BARLATTANI</surname><given-names>A.</given-names><suffix>Jr</suffix></name><xref ref-type="aff" rid="af1-51-56"><sup>1</sup></xref></contrib></contrib-group><aff id="af1-51-56"><label>1</label>Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy</aff><aff id="af2-51-56"><label>2</label>Department of Systems Medicine, University of Rome “Tor Vergata”, Rome, Italy</aff><author-notes><corresp id="c1-51-56">Correspondence to: Michele Miranda, MD, Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier 1, 00133 Rome, Italy, E-mail: <email>michelemiranda.ptv@gmail.com</email></corresp></author-notes><pub-date pub-type="collection"><season>Apr-Jun</season><year>2014</year></pub-date><pub-date pub-type="epub"><day>27</day><month>12</month><year>2014</year></pub-date><volume>7</volume><issue>2</issue><fpage>51</fpage><lpage>56</lpage><permissions><copyright-statement>©2014 CIC Edizioni Internazionali, Rome, Italy</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract><title>SUMMARY</title><sec><title>Objectives.</title><p>This work aims to assess the risks both thromboembolic that bleeding of a management protocol “non-conservative” in patients on oral anticoagulant therapy (OAT) to be undergoing implant surgery.</p></sec><sec><title>Materials and methods.</title><p>We decided to take a surgical “non-conservative” protocol, to insert four implants in the aesthetic zone, without using flapless surgery and the surgical template. In accordance with the hematologist, the value of INR is lowered and warfarin was replaced with heparin low molecular weight, to have a better coagulation’s control.</p></sec><sec><title>Results.</title><p>The modern guidelines impose a protocol of conservative management in patients with OAT, with minimally invasive surgery, flapless, and use of surgical template to reduce the risk of uncontrolled bleeding. This, thanks to the team-work between dentist and hematologist, thanks to careful adjustment of INR and the use of local haemostatic agents, were not encountered any problems with bleeding or intra or postoperative.</p></sec><sec><title>Conclusion.</title><p>Surgical treatment of patients with OAT is a real problem for the oral surgeon, to treat every time in association with the hematologist. Applying this type of surgical procedure, different from today’s guidelines, in our experience there were no post-operative complications (bleeding or bleeding); osseointegration has not been compromised and the prosthetic rehabilitation was completed successfully.</p></sec></abstract><kwd-group><kwd>oral pathology</kwd><kwd>implant surgery</kwd><kwd>OAT</kwd><kwd>protocol “non conservative”</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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