BioMedica |

Original Article

Volume: 40 | Issue: 4 | Published: Dec 25, 2024 | Pages: 181 - 185 | DOI: 10.24911/BioMedica/5-1176

Does Aspirin Need to Be Discontinued Before an Elective Simple Tooth Extraction

Authors: Shah Noor , Faheem Ahmed , Sahiba Batool , Dr Misbah Razzaq , Mor Khan Shar

Authors

Shah Noor

Oral and Maxillofacial Surgery, School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

Faheem Ahmed

Department of Oral and Maxillofacial Surgery, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan

Sahiba Batool

Oral and Maxillofacial Surgery, School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

Dr Misbah Razzaq

Oral and Maxillofacial Surgery, School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

Mor Khan Shar

Oral and Maxillofacial Surgery, School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

Publication History

Received: July 08, 2024

Accepted: November 10, 2024

Published: December 25, 2024

Abstract

Background and Objective:

Aspirin, known less commonly by its generic name, Acetylsalicylic acid (ASA), increases bleeding time with a consequent risk of post-operative bleeding that places dental clinicians in a state of uncertainty as to whether or not Aspirin intake should be ceased prior to an elective dental extraction. This study was therefore designed to compare frequency of bleeding among patients of elective simple tooth extraction with or without discontinuation of Aspirin

Methods:

A randomized controlled study was conducted at the Department of Oral and Maxillofacial Surgery, Kahuta Research Laboratories (KRL) Hospital, Islamabad over the period of 1 year. A total of 324 patients were equally divided into two groups; Group A patients were advised to continue taking Aspirin before extraction, whereas, in Group B, the patients were advised to discontinue Aspirin 5 days before tooth extraction. In both groups, a single clinically indicated tooth was extracted under local anesthesia with standard procedure. The socket site was examined 30 minutes post extraction to assess active bleeding using a validated categorization method. The data was analyzed using statistical software.

Results:

It was observed that157(48.5%) patients in Group-A and 161(49.7%) patients in Group-B were found with grade 0 (no bleeding after 30 minutes of extraction) bleeding while 5(1.5%) patients in Group-A and 1(0.3%) patient in Group-B were found with grade I (presence of active bleeding after 30 minutes of extraction bleeding). This finding was not statistically (p=0.099).

Conclusion:

It is recommended to safely carry out simple extraction without discontinuing or altering the dose of Aspirin to avoid the thrombotic risk; provided the local hemostatic measures are in place.

Keywords: Aspirin, Post-extraction bleeding, Dental extraction, Hemostasis.

Pubmed Style

Shah Noor, Faheem Ahmed, Sahiba Batool, Dr Misbah Razzaq, Mor Khan Shar. Does Aspirin Need to Be Discontinued Before an Elective Simple Tooth Extraction. BioMedica. 2024; 25 (December 2024): 181-185. doi:10.24911/BioMedica/5-1176

Web Style

Shah Noor, Faheem Ahmed, Sahiba Batool, Dr Misbah Razzaq, Mor Khan Shar. Does Aspirin Need to Be Discontinued Before an Elective Simple Tooth Extraction. https://biomedicapk.com/articles/1176 [Access: May 31, 2025]. doi:10.24911/BioMedica/5-1176

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Shah Noor, Faheem Ahmed, Sahiba Batool, Dr Misbah Razzaq, Mor Khan Shar. Does Aspirin Need to Be Discontinued Before an Elective Simple Tooth Extraction. BioMedica. (2024), [cited May 31, 2025]; 25 (December 2024): 181-185. doi:10.24911/BioMedica/5-1176

Harvard Style

Shah Noor, Faheem Ahmed, Sahiba Batool, Dr Misbah Razzaq, Mor Khan Shar (2024) Does Aspirin Need to Be Discontinued Before an Elective Simple Tooth Extraction. BioMedica, 25 (December 2024): 181-185. doi:10.24911/BioMedica/5-1176

Chicago Style

Shah Noor, Faheem Ahmed, Sahiba Batool, Dr Misbah Razzaq, Mor Khan Shar. "Does Aspirin Need to Be Discontinued Before an Elective Simple Tooth Extraction." 25 (2024), 181-185. doi:10.24911/BioMedica/5-1176

MLA (The Modern Language Association) Style

Shah Noor, Faheem Ahmed, Sahiba Batool, Dr Misbah Razzaq, Mor Khan Shar. "Does Aspirin Need to Be Discontinued Before an Elective Simple Tooth Extraction." 25.December 2024 (2024), 181-185. Print. doi:10.24911/BioMedica/5-1176

APA (American Psychological Association) Style

Shah Noor, Faheem Ahmed, Sahiba Batool, Dr Misbah Razzaq, Mor Khan Shar (2024) Does Aspirin Need to Be Discontinued Before an Elective Simple Tooth Extraction. , 25 (December 2024), 181-185. doi:10.24911/BioMedica/5-1176