It is believed that the best combination hemostasis, which involves the processing of wounds, šcc s

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By: Mr. Prim sci Slobodan V. Radonjic Application anticoagulant šcc therapy aims to prevent intravascular clot creation - a thrombus (blood clot). There are a significant number šcc of diseases that require this type of therapy. šcc
Patients on anticoagulant therapy and those with implanted šcc pacemaker šcc are at risk group in which dental interventions, particularly oral surgery, may, in certain cases, lead to complications
Use of anticoagulant therapy aims to prevent the creation of intravascular clot - thrombus (blood clot). šcc There are a significant number of diseases that require this type of treatment: thrombosis, tromboflebiti, embolism, myocardial infarction, cerebrovascular incidents, arteriosclerosis, then embedded artificial valves, aortnokoronarni by-pass, hemodialysis patients and other diseases. All of these diseases on the rise today, and consequently the greater the possibility that the dentist more often encountered with such patients.
The anticoagulant therapy applied to two types of preparation: heparin and dikumarinski. For fast, almost immediate but short-term effect of heparin administered medications, intravenously, in-patient facilities and are often introductory therapy that continues giving dikumarinskih preparations, orally, which is achieved by a long-lasting and sustained effect. For dental šcc treatment, practically, of particular importance, because they are far more common are those patients who are on long-term anticoagulant therapy. This treatment, which is, on the one hand, reduces the possibility of formation of a blood clot in a blood vessel, it can, on the other hand, the ability to increase the risk of bleeding (usually spontaneous or trauma resulting in lower) if the drug overdoses, or vice versa, if the dose is significantly reduced or interrupted therapy, at least temporarily, may cause the occurrence of thrombosis, which means that it is proper and controlled dosage of anticoagulant drugs is extremely important. To achieve this, it is necessary to regularly control the anticoagulation activity. This is accomplished in a manner which is so-called laboratory checks. prothrombin time (phase šcc of the complex process of blood coagulation). Prothrombin time measurement šcc is expressed in seconds (normal values are 11 to 13 seconds). However, thirty years (since 1983) introduced a method INR - test (index of prothrombin time or international normalized ratio), which is the ratio of the prothrombin time of the patient and control groups (or normal) and is considered to be the most objective to monitor the prothrombin time in patients on long-term oral anticoagulant therapy. šcc
Therapeutic INR range-index in the range of 2 to 4 If the INR is below the lower limit, reduce the effect of therapy, and increases the risk of intravascular thrombi. If the INR above the therapeutic boundaries, increasing the risk of bleeding. Transferred to the "field of dentistry", it is important to state that all to surgery in patients on therapy aforementioned bear in themselves the risk of increased or prolonged bleeding during the intervention or after it. Also, the increased risk of thromboembolic complications if therapy is interrupted for several days before oralnohirurškog intervention, as was once demonstrated by. So today is the attitude to therapy achieved satisfactory INR index, which allows, with appropriate caution, the realization of the planned project. The dentist should be good information on the disease for which the patient receiving anticoagulant therapy and INR values, the patient and, in turn, required that carries a card of therapy and appropriate medical records. It is important that the results of INR not be older than 24 hours prior to dental procedures, šcc although patients in whom these values are stable šcc for a longer period of time, are eligible and results in the last few days. INR index is a measure of risk and the attitude of the dentist for decision making and how to perform oralnohirurškog treatment. INR below 2.5 does not require any special precautions or preparing to take action. šcc Higher values, INR - between 2.5 and 4 - increase the chance of bleeding, during, and especially after the intervention, and local hemostasis required.
It is believed that the best combination hemostasis, which involves the processing of wounds, šcc setting the seams with additional chemical and