Dental Management Of Patients undergoing Anti-Coagulant therapy
Patients receiving Aspirin OR other platelet-inhibiting drugs:
1- Consult physician to stop the anticoagulant therapy.
2- defer surgery until the platelet-inhibiting drugs have been stopped for 5 days.
3- take extra measures for promotion of blood clot formation and retention.
4- restart drug therapy on the day after surgery if there become no bleeding.
Patients receiving Warfarin:
1- Consult a physician to determine the safety of Prothrombin time (PT) to fall to ( 2.0-3.0 ) for a few days.
2- Obtain the base line PT
3- If the PT is more than 3.0 then stop Warfarin for 2 days before surgery until PT fall to 3.0
4- If the PT is less than 3.0 proceed the surgery and take measures that promote blood clot formation and retention
5- Restart Warfarin on the day of the surgery.
Patients receiving Heparin:
1- Consult physician to stop the Heparin therapy.
2- Defer the Surgery to: 6 Hours after the stopping of Heparin (OR) by reversing the Heparin with the Protamine.
3- Restart the Heparin once a blood clot is formed.
Source : :: World Of Dentistry ::