POST-EXTRACTION HEMORRHAGE: ASSESSING HYPERTENSION AS A RISK FACTOR IN DENTAL EXTRACTIONS

Amelia Elizabeth Pranoto(1*), Nina Runting(2), Eddy Hermanto(3)


(1) Universitas Muhammadiyah Surakarta
(2) Universitas Muhammadiyah Surakarta
(3) Universitas Hang Tuah Surabaya
(*) Corresponding Author

Abstract


Background: Tooth extraction, a frequently performed dental procedure, typically culminates in hemostasis within several hours post-operatively. Hypertensive individuals exhibit a propensity for protracted bleeding following surgical interventions. This investigation seeks to assess prolonged bleeding after dental extraction in hypertensive patients. The study aims to determine whether elevated blood pressure is the sole etiological factor in prolonged bleeding or if other confounding variables are implicated. 

Methods: This prospective cohort study was conducted at Wates Public Hospital, Yogyakarta, Indonesia, from October 2024 to February 2025. Consecutive sampling was used in this study. All research subjects were patients at the Oral and Maxillofacial Surgery Clinic of the RSUD Wates who underwent closed-method extraction using local anesthesia. Patients were separated into two groups, normal and hypertension. Seventy-four patients have been involved in this research, based on inclusive and exclusive criteria. Confounding factors which could influenced blood pressure were controlled statistically.

Outcome: Findings indicate that increased mean arterial pressure may extend bleeding time after extraction (p < .001). 

Conclusion: Elevated mean arterial pressure may prolong bleeding following tooth extraction. Furthermore, several confounding factors, including patients’ pharmacotherapy, localized inflammation resulting from periodontal disease in hypertensive individuals, and adverse patient behaviors after extraction, should be taken into consideration.


Keywords


Bleeding time, hypertension, tooth extraction, post-extraction bleeding

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References


Yerragudi N, Chawla JG, Kalidoss VK, Polineni S, Jayam C, Kumar C. The Optimal Hemostasis Duration After Tooth Extraction: A Randomized Controlled Trial. Cureus. 2023;15(1), e33331. https://doi.org/10.7759/cureus.33331

Chu EJ, Kim YS, Park JH. Hypertension and its implications on post-extraction bleeding: A review. Journal of Oral Medicine and Surgery. 2021;56(2), 78–85.

Rodrigues DS, Pereira AC, Lima RS. Antihypertensive therapy and dental bleeding: Clinical considerations. International Journal of Dental Research. 2020;48(4), 112–120.

Li W, Zhang T, Chen H. The impact of high blood pressure on hemostasis following oral surgical procedures. Cardiovascular & Oral Health Journal. 2022;39(1), 55–63.

Liu J, Wang X, Zhao Y. Post-extraction management in hypertensive patients: A clinical perspective. Dental and Medical Research. 2019;27(3), 102–110.

Kumbargere NS, Prashanti E, Aggarwal H, Lingappa A, Muthu MS, Kiran KKS, Hassan H. Interventions for treating post-extraction bleeding. The Cochrane database of systematic reviews, 2018;3(3):CD011930. https://doi.org/10.1002/14651858.CD011930.pub3

Southerland JH, Gill DG, Gangula PR, Halpern LR, Cardona CY, Mouton CP. Dental management in patients with hypertension: challenges and solutions. Clinical, cosmetic and investigational dentistry, 2016;8:111–120. https://doi.org/10.2147/CCIDE.S99446

Pan Y, Cai W, Cheng Q, Dong W, An T, Yan J. Association between anxiety and hypertension: a systematic review and meta-analysis of epidemiological studies. Neuropsychiatric disease and treatment, 2015;11:1121–1130. https://doi.org/10.2147/NDT.S77710

Ashorobi D, Ameer MA, Fernandez R. Thrombosis. [Updated 2024 Feb 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538430/

Li J, Tian Z, Qi S, Zhang J, Li L and Pan J. Cardiovascular Response of Aged Outpatients With Systemic Diseases During Tooth Extraction: A Single-Center Retrospective Observational Study. Front : Public Health. 2022;10:938609. doi: 10.3389/fpubh.2022.938609

Valtellini R, Ouanounou A. Management of the hypertensive dental patient. Journal of the Canadian Dental Association. 2023;89(n2), 1–14.

Huang J, Liu J, Shi H, Wu J, Liu J, Pan J. Risk factors for bleeding after dental extractions in patients receiving antithrombotic drugs - A case control study. Journal of dental sciences. 2022;17(2):780–786. https://doi.org/10.1016/j.jds.2021.10.005


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DOI: https://doi.org/10.26714/ijd.v5i2.17889

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