Segurança e Efetividade de um Protocolo para Atendimento Odontológico de Pacientes Anticoagulados em Nível Hospitalar

Bruna Leal de Almeida Gomes; Gabriella Guerra Freire Gabrich Fonseca; Natália Silva de Meira Meira; Laís Braga Paulon; Lianara Marçal Peixoto Ferreira; Pedro Henrique Gonçalves Ferreira; Amanda Leal Rocha; Denise Vieira Travassos

doi:10.36489/saudecoletiva.2025v15i97p16180-16195

Authors

Bruna Leal de Almeida Gomes Graduação em Odontologia pela Faculdade de Odontologia da Universidade Federal de Minas Gerais – UFMG. Belo Horizonte - Minas Gerais; Brasil. https://orcid.org/0009-0005-7407-0348
Gabriella Guerra Freire Gabrich Fonseca Residência Multiprofissional em Saúde – Área de Concentração: Cuidado Humanizado da Criança e do Adolescente (Concluída. Biênio 2023-2025) https://orcid.org/0009-0000-6661-7378
Natália Silva de Meira Meira Residência Multiprofissional em Saúde – Área de Concentração: Cuidado Humanizado da Criança e do Adolescente (Concluída. Biênio 2023-2025); Hospital das Clínicas da Universidade Federal de Minas Gerais – HC UFMG. Belo Horizonte - Minas Gerais; Brasil. https://orcid.org/0009-0008-1739-0726
Laís Braga Paulon Mestrado Profissional em Odontologia em Saúde Pública pela Faculdade de Odontologia da Universidade Federal de Minas Gerais – UFMG. Belo Horizonte - Minas Gerais; Brasil. https://orcid.org/0009-0005-2222-4034
Lianara Marçal Peixoto Ferreira Mestrado Profissional em Odontologia em Saúde Pública (em andamento) pela Faculdade de Odontologia da Universidade Federal de Minas Gerais – UFMG. Belo Horizonte - Minas Gerais; Brasil. https://orcid.org/0009-0000-9833-6300
Pedro Henrique Gonçalves Ferreira Mestrado Profissional em Odontologia em Saúde Pública (em andamento) pela Faculdade de Odontologia da Universidade Federal de Minas Gerais – UFMG. Belo Horizonte - Minas Gerais; Brasil. https://orcid.org/0000-0003-4480-0061
Amanda Leal Rocha Doutorado em Odontologia – Área de Concentração: Estomatologia e Professora Adjunta do Departamento de Clínica; Patologia e Cirurgia Odontológicas da Faculdade de Odontologia da Universidade Federal de Minas Gerais – UFMG. Belo Horizonte - Minas Gerais; Brasil. https://orcid.org/0000-0002-4362-7386
Denise Vieira Travassos Doutorado em Odontologia – Área de Concentração: Saúde Coletiva e Professora Associada do Departamento de Odontologia Social e Preventiva da Faculdade de Odontologia da Universidade Federal de Minas Gerais – UFMG. Belo Horizonte - Minas Gerais; Brasil. https://orcid.org/0000-0003-2084-9557

DOI:

https://doi.org/10.36489/saudecoletiva.2025v15i97p16180-16195

Keywords:

Anticoagulants, Dental treatment, Hemorrhages

Abstract

Introduction: Anticoagulant therapy is essential to prevent thromboembolic events in patients with cardiovascular disorders, but it increases the risk of hemorrhagic complications during dental procedures. Management protocols vary between maintaining, adjusting, or suspending anticoagulants, combined with the use of local hemostatics to mitigate these risks. Objective: To evaluate the effectiveness of a protocol for performing dental procedures with potential bleeding in anticoagulated patients. This protocol was developed and is proposed by the Municipal Health Department of Belo Horizonte,
Minas Gerais – SMSA/PBH, for procedures carried out in its healthcare network. Methodology: This is a retrospective quantitative study based on the analysis of medical records of patients treated by the Special Dental Diagnosis and Treatment Service (SEDTO) of the Clinics Hospital at the Federal University of Minas Gerais (HC-UFMG), on an outpatient basis, from October 2020 to November 2023, according to medical requests. Results: A total of 174 medical records of patients using oral anticoagulants were evaluated, in which 292 procedures were performed and 8 cases of hemorrhagic complications were observed. Conclusion: The protocol for the care of anticoagulated patients provided by PBH is effective and enables safe dental procedures for this population. To manage anticoagulated patients in dentistry, thorough planning is essential, always respecting each patient’s individuality and needs.

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