Dentistry

Dental Procedural Bleeding Risk & Antithrombotic Management

Guides perioperative management of Warfarin, DOACs, and Antiplatelets for dental extractions & oral surgery.

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Parameters

Dental Procedural Bleeding Risk & Antithrombotic Management Result

Formula

ADA / ACCP Guideline Algorithm: Risk based on surgical invasiveness + antithrombotic class + INR status
Warfarin INR ≤ 3.5 and DOACs are safely continued with local hemostatics.

Clinical Pearls

Eliminates dangerous, outdated practices of routinely withholding blood thinners prior to dental extractions, preventing fatal perioperative strokes and myocardial infarctions.

Limitations

If the patient is having full-mouth clearance or extensive maxillofacial osteotomies, multidisciplinary coordination with the primary cardiologist/hematologist is mandatory.