Impact of Post-Exodontia Bleeding in Cardiovascular Patients: A New Classification Proposal

T. Lillis1, M. Didagelos2, L. Lillis2, C. Theodoridis1, H. Karvounis2, A. Ziakas2, *
1 Department of Oral Surgery, Implantology and Radiology, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
2 1st Department of Cardiology, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Thessaloniki, Greece

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© 2017 Lillis et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Aristotle University of Thessaloniki, AHEPA University Hospital, St. Kyriakidi 1, 546 36 Thessaloniki, Greece, Tel: 0030-2310-993565, Fax: 0030-2310-992563, Mobile: 00306942488823; E-mail:



Exodontia (dental extraction), being the most frequent minor surgical procedure in the general population, inevitably involves a large number of patients on antithrombotic medication. Current experience shows that there is a degree of confusion in managing these patients.


Post-exodontia bleeding, a natural consequence of every dental extraction with no or minor clinical significance in the vast majority of cases, often appears to be of major concern to both patients and healthcare practitioners (dentists or physicians), either because of the alarming nature of oral bleeding itself or because of the distorted perception about its importance. These concerns are enhanced by the lack of a universal standardized definition of post-exodontia bleeding and by the fact that all currently available post-exodontia bleeding definitions bear intrinsic limitations and tend to overestimate its clinical significance.


In order to overcome the aforementioned issues, this article presents an overview of post-extraction bleeding and proposes a classification, based on the well-recognized Bleeding Academic Research Consortium (BARC) bleeding definition, aiming at reducing heterogeneity in this field.

Keywords: Dental extraction, Bleeding, Classification, Antiplatelet, Anticoagulant.