Anticoagulation & Dentistry (bdj 2007)

Risk of significant bleeding with INR 2-4 is very small

--> Anticoagulation should not be discontinued for outpatient dentistry

Only exception: Tooth extraction

No need to alter AC to accommodate a single prophylactic dose of antibiotics (though this is less commonly used now anyway)

For stable warfarin use, check INR 72 hours prior to procedure

Avoid use of NSAIDs post-procedure

Minimise the risk of bleeding by using surgical technique +/- Tranexamic acid