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The study is prospective and descriptive it take place in the department of oral surgery in Tishreen university it concerned 32 patients presented a cardiovascular pathology having required an warfarine therapy and also need an act of oral surgery th e objective of this study was to determine the INR value making possible to carry out an act of oral surgery without haemorrhagic risk we exploited the following parameters: identification of the patient, oral state, type of oral surgery, type of cardiopathy, AVK posology, INR value, means haemostasis. 56.25% of our patients had undergone a single extraction, 25% had beneficed multiple extractions and 18.75% had profited from surgical extraction the average value of the INR was 2.38 with an variance of 0.07 and an ecart type of 0.27. In favour of the haemostat means no haemorrhagic complication post operational was revealed it is allowed that the risk of thromboembolic accident by stoping the treatment is much more prejudicial than hemorrhagic risk for the patent.
The number of children with heart diseases in the Syrian society is constantly growing , In view of the importance of oral health and oral manifestations to this group of patients and the difficulties which dentists face in treating them , it is ve ry important to study oral health and the dental caries prevalence. This study seeks to determine the prevalence of dental caries and to evaluate previous dental treatment in children with heart diseases in Damascus hospitals.
The role of the inflammatory process in atherosclerosis and its development has been confirmed, as many inflammatory factors intervene in the vasculitis process, which leads to damage to the endothelium, which is the early event in the process of atherosclerosis.
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