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