MIDAS (Minimally Invasive Drilling And Styptic) Protocol - A Modified Approach to Treating Patients Under Therapeutic Anticoagulants

Overview

Journal J Oral Biol Craniofac Res

Publisher Elsevier

Date 2019 Jun 14

PMID 31193025

Citations 2

Authors

Yazad Gandhi

Neel Bhatavdekar

Affiliations

Soon will be listed here.

Abstract

Patients with cardiac or allied medical conditions mandating long term oral anticoagulant therapy form a sizeable database in an implant practice today. The management of such patients during surgical and dental procedures has always been debatable. Literature has documented evidence that indicates towards stopping the anticoagulant for a finite period. However, discontinuing anticoagulants is not always possible, given the risks of greater significance than the edentulous state. In such patients a minimally invasive flapless approach is preferred, having the potential to reduce bleeding, surgical time and postoperative edema. The purpose of this case series is to show a possible modified approach for dental implant placement using a CAD-CAM stent guided flapless approach without stopping of therapeutic anticoagulant medication.

Citing Articles

Bleeding Disorders and Dental Implants: Review and Clinical Indications.

Bacci C, Schiazzano C, Zanon E, Stellini E, Sbricoli L J Clin Med. 2023; 12(14).

PMID: 37510872 PMC: 10380778. DOI: 10.3390/jcm12144757.

Clinical Effect and Aesthetic Evaluation of Minimally Invasive Implant Therapy.

Li K, Liu F, Liu P, Wei C, Li X Emerg Med Int. 2023; 2023:9917311.

PMID: 37008758 PMC: 10065858. DOI: 10.1155/2023/9917311.

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