P-41981402-96 - How much time is sufficient to achieve hemostasis following dental extraction: Few minutes to many minutes- A randomized controlled trial

Abstract

There is no consensus regarding the duration of pressure pack placement following tooth extraction. The duration varies from 5 minutes to 60 minutes. Standard duration of pressure pack placement following tooth extractions performed on healthy patients needs to be defined. The aim of the study was to determine the duration for which a pressure pack is required to achieve hemostasis following dental extraction. A randomized controlled trial of 192 patients undergoing intralaveolar extractions were recruited by consecutive random sampling and randomized using permuted block randomisation. Patients underwent extractions and pressure packs were placed for 10 or 60 minutes depending upon the group to which they belonged. Incidence of post-extraction bleeding, reactionary and secondary hemorrhage was compared in between groups. 192 participants were included in the study. The majority of the study participants belonged to the 18 to 45 years of age group (49%) and were female (60%). Hemostasis was achieved in the majority of the participants (91%) with the primary pack. 9.4% of participants in the 10 minutes group and 8.3% of participants in the 60 minutes group failed to achieve hemostasis with the primary pack. This difference was not statistically significant (p-value= 0.799). The additional pack requirement was statistically not different (p-value= 0.233) between the 10 minutes group (8.3%) and 60 minutes group (4.2%). Ten minutes is sufficient time to achieve hemostasis following tooth extraction and hence the pressure pack may be removed after ten minutes by the surgeon himself. There is no consensus regarding the duration of pressure pack placement following tooth extraction. The duration varies from 5 minutes to 60 minutes. Standard duration of pressure pack placement following tooth extractions performed on healthy patients needs to be defined. The aim of the study was to determine the duration for which a pressure pack is required to achieve hemostasis following dental extraction. A randomized controlled trial of 192 patients undergoing intralaveolar extractions were recruited by consecutive random sampling and randomized using permuted block randomisation. Patients underwent extractions and pressure packs were placed for 10 or 60 minutes depending upon the group to which they belonged. Incidence of post-extraction bleeding, reactionary and secondary hemorrhage was compared in between groups. 192 participants were included in the study. The majority of the study participants belonged to the 18 to 45 years of age group (49%) and were female (60%). Hemostasis was achieved in the majority of the participants (91%) with the primary pack. 9.4% of participants in the 10 minutes group and 8.3% of participants in the 60 minutes group failed to achieve hemostasis with the primary pack. This difference was not statistically significant (p-value= 0.799). The additional pack requirement was statistically not different (p-value= 0.233) between the 10 minutes group (8.3%) and 60 minutes group (4.2%). Ten minutes is sufficient time to achieve hemostasis following tooth extraction and hence the pressure pack may be removed after ten minutes by the surgeon himself.