Evidence map›Paper›PMID 31043987›Full record

ArticlePostepy w kardiologii interwencyjnej = Advances in interventional cardiology2019

Safety of dental extractions in patients on dual antiplatelet therapy - a meta-analysis.

Michał Zabojszcz, Krzysztof P Malinowski, Agnieszka Janion-Sadowska, Theodoros Lillis, Antonios Ziakas, Agnieszka Sławska, Marianna Janion, Zbigniew Siudak

Open access · goldAbstract read
In one paragraph

Article in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Michał ZabojszczFaculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland.
Krzysztof P MalinowskiInstitute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Agnieszka Janion-SadowskaFaculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland.
Theodoros LillisDepartment of Dentoalveolar Surgery, Implant surgery and Radiology, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, Greece.
Antonios ZiakasDepartment of Cardiology, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece.
Agnieszka SławskaDepartment of Interventional Cardiology, GVM Carint, Ostrowiec Świętokrzyski, Poland.
Marianna JanionFaculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland.
Zbigniew SiudakFaculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland.
Jan Kochanowski University · PLAHEPA University Hospital · GRAkademii Nauk Stosowanych im. Józefa Gołuchowskiego · PLAristotle University of Thessaloniki · GRJagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSafety of dental extractions in patients on chronic antiplatelet therapy either with only acetylsalicylic acid (ASA) or clopidogrel or with both combined has been a matter of debate, with no clearly conclusive studies published.

aimTo perform a meta-analysis of published observational studies in order to study the effect of single and double antiplatelet therapy in comparison to controls on the occurrence of immediate local bleeding complications during dental extractions. MATERIAL AND

methodsPubMed/Scopus/Embase database search revealed 22 papers (13 original and 9 review), 3 of which were finally included in the meta-analysis. Phrases searched: dual[All Fields] AND antiplatelet[All Fields] AND ("therapy"[Subheading] OR "therapy"[All Fields] OR "therapeutics"[MeSH Terms] OR "therapeutics"[All Fields]) AND ("tooth extraction"[MeSH Terms] OR ("tooth"[All Fields] AND "extraction"[All Fields]) OR "tooth extraction"[All Fields]).

resultsThe overall event incidence (bleeding complication after extraction) in the entire population was 1.59% (42 events in 2637 patients). As compared to the control group, the use of double antiplatelet therapy DAPT was associated with on odd ratio OR of 40.23 (95% CI: 4.37-370.36) increase in risk of bleeding events occurrence (

conclusionsDental extractions following strict procedural protocols in patients on double antiplatelet therapy with clopidogrel and ASA are associated with an additional risk of immediate local bleeding complications.

Indexed as

cardiovascular diseasesplatelet aggregationtooth extraction

Identifiers

PMID31043987
PMCPMC6488835
OpenAlexW2939453067

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.