Suggestions for anticoagulation management before and after dental procedures

Management of anticoagulation before and after dental procedures requires careful, patient-specific evaluation of the risk of bleeding associated with the dental procedure as well as the risk of thromboembolism associated with the underlying disease state for which anticoagulation is indicated. Patient specific management plans will be made in consultation with the dentist performing the procedure.

  Low bleeding risk Moderate bleeding risk High bleeding risk
Procedures
  • Supragingival scaling
  • Simple restorations
  • Local anesthetic injections
  • Subgingival scaling
  • Restorations with subgingival preparations
  • Standard root canal therapy
  • Simple extractions
  • Regional injections of local anesthetics
  • Extensive surgery
  • Apicoectomy (root removal)
  • Alevolar surgery (bone removal)
  • Multiple extractions
Suggestions
  • Interruption of anticoagulant therapy in not necessary
  • Use local measures to prevent or control bleeding
  • Consult w/ dentist to determine comfort with use of local measures to prevent bleeding when anticoagulation is not interrupted