Safety of local anaesthesia in dental patients taking oral anticoagulants: is it still controversial?

• Published in: British journal of oral & maxillofacial surgery Vol. 50; no. 1; pp. 65 - 68
• Main Authors: Bajkin, Branislav V, Todorovic, Ljubomir M
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01.01.2012
• Subjects: Administration, Oral; Adult; Aged; Aged, 80 and over; Anesthesia, Dental - adverse effects; Anesthesia, Local - adverse effects; Anesthetics, Local - administration & dosage; Anticoagulants; Anticoagulants - administration & dosage; Anticoagulants - blood; Anticoagulants - therapeutic use; Dentistry; Female; Follow-Up Studies; Hematoma - etiology; Hemorrhage - etiology; Humans; Inferior alveolar nerve block; International Normalized Ratio; Lidocaine - administration & dosage; Local anaesthesia; Longitudinal Studies; Male; Mandibular Nerve - drug effects; Maxilla - drug effects; Mepivacaine - administration & dosage; Middle Aged; Mouth Floor - pathology; Nerve Block - adverse effects; Oral Hemorrhage - etiology; Patient Safety; Prospective Studies; Pterygoid Muscles - pathology; Surgery; Young Adult; Local anaesthesia; Anticoagulants; Inferior alveolar nerve block

Abstract The aim of this study was to investigate the safety of local infiltration techniques and the inferior alveolar nerve block (IANB) in dental patients taking oral anticoagulants. A total of 352 patients were given a total of 560 injections of local anaesthetic (119 IANB and 441 others). The s...