Bleeding After Dental Extractions in Patients on Warfarin

An interesting article titled “Postoperative Bleeding Following Dental Extractions in Patients Anticoagulated With Warfarin” written by Anthony Febbo and et al. appears in the 2016 Journal or Oral and Maxilofacial Surgery (vol. 74, pp. 1518-1523). The article sought to explore the risk of bleeding in patients on warfarin after dental extraction. Warfarin is the most common anticoagulant used in Australia which can be used to prevent life-threatening thromboembolic events, such as stroke and deep vein thrombosis from occuring in patients at risk. Varying viewing points exisist as how to best handle these patients when a tooth or teeth need to be extracted. Some options include stopping the anticoagulant before extraction or continuing to use it while local hemostatic techniques are used. However ceasing the anticoagulant could be deadly so it is not generally used. The therapeutic effect of warfarin is … Read more

Asphyxia Due to Compression of the Trachea Leading to Death After Wisdom Tooth Extraction

As discussed before on this website, having a wisdom tooth extracted can in rare instances lead to death. This is expanded on over at the wisdom teeth death page At the time of writing this, at least 67 deaths have been listed on this page attributable to wisdom teeth removal. In a recent case a 74 year old man has passed away in Japan after having a mandibular wisdom tooth extracted. A case report of this is described in Wataru Kawashima, Katsuhiko Hatake, Yoshifumi Morimura, Risa Kudo, Mari Nakanishi, Shigehiro Tamaki, Shogo Kasuda, Katsuya Yuui, and Akiko Ishitani, “Asphyxial death related to postextraction hematoma in an elderly man,” Foresnic Science International, vol. 288, e47-e49, 2013. In the article the authors describe how after having wisdom teeth extracted it is possible to develop bleeding. In some cases massive bleeding and … Read more