Learn the Ways of the New World

Recently I was shocked to learn so many people are still doing Begg. It is no more an acceptable standard of care. Are you still doing Begg Technique ? It is high time you switched to the ways of the world, that is Straight Wire system. It improves your image and income. And it does not cost and needs only minimal learning to learn the new methods. If interested send your full contact details to gurudental@yahoo.com

There is a very interesting study, more and more people now a days take aspirin which leads to thinning of blood, what should we do if such a patient comes to our clinic, shall we stop one week before his appointment, what are the current guidelines ?

Aspirin and bleeding in dentistry: An update and recommendations

Michael T. Brennan, Richard L. Wynn, Craig S. Miller, published in Triple O, Sept 2007 issue

Aspirin use in the United States remains high because of its diverse and beneficial activities. In adults at risk for cardiovascular thrombotic events, low-dose aspirin is an excellent preventive agent; however, its antiplatelet properties have contributed to a perceived increased risk for bleeding after dental extractions. This article discusses recent evidence regarding the thrombotic risks associated with discontinuing aspirin use in patients who take aspirin daily and presents a new recommendation for continuing low-dose aspirin during invasive dental procedures.

Finally:
Aspirin remains the gold standard for the prevention of myocardial infarction, ischemic stroke, and vascular death among patients at high and low risk of these events. In the dental setting, low-dose aspirin use can increase the number of periodontal sites that bleed on probing; however, it has minimal impact on the amount and duration of bleeding following routine dental extractions, and its cardioprotective benefits outweigh the risks of oral bleeding in most dental settings. Therefore, our current recommendation is to continue low-dose aspirin therapy when routine dental extractions are performed, unless specific extenuating circumstances exist. In such cases, discontinuation should be limited to 3 or fewer days as increased risk for thrombotic events increases when discontinuation is between 4 and 30 days. Studies are needed to determine if such short-term discontinuation also increases risk for adverse cardiovascular events.