What should be monitored when using Aspirin in dental treatment?

Monitoring platelet aggregation is crucial when using Aspirin in dental treatment because Aspirin is an antiplatelet medication. It works by inhibiting the enzyme cyclooxygenase (COX), which leads to a reduction in the synthesis of thromboxane A2, a substance that promotes platelet aggregation. This action is beneficial in preventing blood clots; however, it also means that patients taking Aspirin have an increased risk of excessive bleeding during and after dental procedures.

Understanding the degree of platelet aggregation is important, as it can inform the clinician on how to manage dental procedures safely. If a patient is on Aspirin, the dentist needs to be aware of the potential for prolonged bleeding and may consider strategies for hemostatic control. Regular monitoring of platelet function can help assess the effectiveness of Aspirin and guide the dental treatment plan accordingly, particularly for invasive procedures.

In contrast, monitoring blood sugar levels is more relevant for diabetic patients rather than for those on Aspirin, while heart rate variability and oxidative stress do not directly relate to Aspirin’s antiplatelet effects or dental treatment considerations.