Evidence map›Paper›PMID 41612139›Full record

SynthesisOral diseases2026

Platelet Levels Associated With Bleeding Risk for Dental Interventions: A Systematic Review.

Guang Xu David Lim, Fatima Al Sarraf, Hana Cho, Navdeep Kumar

Abstract readSystematic Review
In one paragraph

Synthesis in Oral diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

4 authors.

Guang Xu David LimDental School, University of Western Australia, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0002-3326-9730
Fatima Al SarrafMINDS Developmental Disability Clinic, MINDSG Limited, Singapore.
Hana ChoDar Al Shifa Hospital and Clinic, Hawally, Kuwait.ORCID https://orcid.org/0000-0002-3892-1863
Navdeep KumarRoyal National ENT and Eastman Dental Hospitals, University College London Hospitals NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate evidence in relation to postoperative bleeding in humans aged ≥ 16 with preoperative platelet counts < 50,000/μL, compared to those above, undergoing dental interventions.

methodsQuantitative synthesis without meta-analysis was conducted through an electronic search conducted on Ovid MEDLINE and Embase from 1946 to April 2024 with no restriction on study design. Primary outcome was postoperative bleeding in patients with platelet count < 50,000/μL due to dental interventions. Two reviewers assessed independently, and a third resolved conflicts. This study was reported according to PRISMA 2020 and registered on PROSPERO (CRD42024527279).

results1633 unique articles were identified. Six case reports, four case series, nine cohort studies and one trial fulfilled the inclusion. Overall, 983 included cases consisted of 968 oral surgery, 10 periodontology and 5 dental anaesthesia cases. Postoperative bleeding occurred in 65 cases following oral surgery procedures, of which 1 was life-threatening. Bleeding rates for cases with platelet levels < 50,000/μL were 12.9%, and 4.9% for ≥ 50,000/μL. Risk ratio was 2.95 (95% CI: 1.76-4.96; p < 0.0001).

conclusionsThere is no evidence that platelet counts < 50,000/μL is a contraindication for dental interventions, although findings suggest higher postoperative bleeding rates, particularly in oral surgery. Patients should be assessed individually, with more controlled trials required.

Indexed as

Oral Surgical ProceduresPostoperative HemorrhageHumansPlatelet CountRisk Factorsbleedingdentalsystematic reviewthrombocytopenia

Identifiers

PMID41612139
PMCPMC13457668

What OpenQuestion holds

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Registered trials

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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.