Risk of bleeding during oral surgery in patients with liver
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The liver is responsible for the production of almost all coagulation factors, but does this indicate a risk of developing unusual bleeding in patients with liver cirrhosis during dental surgery?

Seven studies met the inclusion criteria. The sample sizes ranged from 23 through 318 participants, the number of extracted teeth ranged from 62 through 1,183, platelet count ranged from 16,000 through 216,000 per cubic millimeter, and the international normalized ratio was less than 4. The prevalence of hemorrhagic events in the studies ranged from 0% through 8.9%, and almost all were controlled with local hemostatic measures.

During dental treatment, patients with liver cirrhosis have a low bleeding risk in spite of the decreased number of platelets and increased international normalized ratio.

Source:https://jada.ada.org/article/S0002-8177(20)30671-1/fulltext?rss=yes
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