High-power laser for second-stage implant surgery in an anticoagulated patient: a case report

Daniella Pilon Muknicka

Abstract

The number of anti-coagulated patients has been increasing over the years and it is common that they seek dental care; however, submitting them to invasive dental procedures is a matter of continuous debate in the literature. Although the use of high-power lasers (HPL), manly by hemostatic capacity, has been considered as an alternative for conservative surgery and periodontal tissue management, there is not enough scientific evidence on its actual indication for this group of patients. Thus, the aim of this paper is to present a clinical report on the use of HPL for second- stage implant surgery in a patient on rivaroxaban therapy for Factor V Leiden and antiphospholipid antibody syndrome with a history of excessive bleeding related to implant installation, even interrupting anticoagulation medication 4 days before that. For that, no cessation of rivaroxaban intake was adopted and no complication was happened during or after the procedure. Therefore, the HPL could be an efficient tool for conservative surgery procedures in patients on anticoagulation medication therapy.