Simplifying the treatment of patients using rivaroxaban through guided surgery – case report

Vol. 10 – Number 40 – 2019 IMPLANT DENTISTRY NOTEBOOK Case report / Case report Page 24-29 Simplifying the treatment of patients using rivaroxaban through guided surgery – case report Simplifying treatment for patients using rivaroxaban through guided surgery – case report João Roig Martins¹ Julio Nhuch² Summary The number of patients undergoing treatment with anticoagulants requiring dental treatment has increased considerably in recent years. Therefore, clinicians working with Implant Dentistry should be prepared for these patients and possible complications. This study aims to report on the clinical management of a 70-year-old patient with a history of severe hemorrhage associated with the use of rivaroxaban anticoagulant, showing how the use of guided surgery can simplify and enable rehabilitation with dental implants in patients with this condition. For this purpose, intraoral scanning and virtual planning were performed using specific software for the installation of two Straumann implants in the right posterior region, where a survey of the maxillary sinus had already been performed. The surgical procedure proceeded quickly and without complications, with high acceptance by the patient, who received the final prosthetic rehabilitation approximately 3 months after the installation of the implants. It was concluded that guided surgery is an excellent alternative to reduce morbidity and risk of hemorrhage in patients using rivaroxaban. Descriptors: Dental implants, anticoagulants, oral hemorrhage.   ¹ CD. graduated – UFPEL, Esp. em Implantodontia – ABO/RS, Master’s student in Periodontics – UFRGS, Member of ITI, CD. in private practice, Master’s student in Periodontics – UFRGS. ² CD. graduated – UFRGS, Dental Prosthesis Specialist – ULBRA/RS, Me. in Oral Rehabilitation, Implant Dentistry – ULBRA/RS, Specialization Coordinator in Implant Dentistry – ABO/RS, Dental Prosthesis and Oral Rehabilitation Course Coordinator – CEAO, Member and speaker – ITI.