Received 24.09.2025

DOI: 10.35556/idr-2025-4(113)26-30

Prediction of hemorrhagic complications after simultaneous dental implantation in elderly patients with cardiovascular pathology

Mityushin A.A.1, ORCID: 0009-0001-2677-0949
Amkhadova M.A.1, ORCID: 0000-0002-9105-0796
Amkhadov I.S.1, ORCID: 0009-0004-3475-5601
Shcheplyakov D.S.2, ORCID: 0009-0005-1270-5678
Demidova A.A.2, ORCID: 0000-0003-3545-9359
Antonenko G.V.2, ORCID: 0009-0006-0366-340Х
1 Moscow Regional Research and Clinical Insitute (MONIKI)
129090, Russia, Moscow, Shchepkina St., 61/2
2 Federal State Budgetary Educational Institution of Higher Education “Rostov State Medical University” of the Ministry of Healthcare of the Russian Federation
344022, Russia, Rostov-na-Donu, per. Nakhichevanskiy, 29

E-mail address: alald@inbox.ru

Summary
In the study of 135 patients, the article developed a system for individual prediction of hemorrhagic complications after simultaneous dental implantation in elderly patients with cardiovascular pathology. The comorbid status of patients was characterized by the CIRS-G (Cumulative Illness Rating Scale for Geriatrics) questionnaire, which takes into account the age of patients and the specifics of elderly diseases. The total number of hemorrhagic complications during dental implantation in the clinical group was 16 (11,9 %) people. The relative risk of hemorrhagic complications when the final severity index of comorbid diseases was higher than two inclusive was 1,6 (p=0,0002), the combined intake of antiplatelet agents and anticoagulants was 2,9 (p<0,001). With a decrease in blood thrombocrit below 0,25 %, the risk of bleeding during dental implantation increased 3,1 times (p<0,001). Based on the results of the study, a prognostic model for assessing the risk of hemorrhagic complications of simultaneous dental implantation was developed. It was concluded that in elderly patients with cardiovascular pathology and a high risk of dental bleeding, antiplatelet and anticoagulant therapy should be discontinued three days before and 24 hours after dental surgery.

Keywords: simultaneous dental implantation, tooth extraction, hemorrhagic complications, prognosis, comorbid pathology, old age.

For citation: Mityushin A.A., Amkhadova M.A., Amkhadov I.S., Shcheplyakov D.S., Demidova A.A., Antonenko G.V. Prediction of hemorrhagic complications after simultaneous dental implantation in elderly patients with cardiovascular pathology. Stomatology for All / Int. Dental Review. 2025; no. 4 (113): 26–30 (in Russian). doi: 10.35556/idr-2025-4(113)26-30

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