Vol. 2 No. 1 (2019): Current Issue
Review Article

A An Evidence Based Practice Guidelines for Dental Professionals to Manage Anticoagulant Therapy Patients Seeking Dental Care. A Review Article

Namis S
Resident, Oral and Mxillofacial dept, King Fahad Hospital Jeddah, Saudi Arabia
Al-Habbab RY
Saudi Boards and Department Residents Director, King Fahad Hospital Jeddah, Saudi Arabia
Published January 28, 2019
Keywords
  • Anticoagulant therapy,
  • Oral surgery,
  • Warfarin,,
  • Surgical procedures,
  • Anticoagulant drugs

Abstract

Patients with specific cardiovascular disorders are commonly treated by anti-coagulant
medications. Hence, these anti-coagulant drugs might affect greatly the oral health care
procedures and the course of dental treatments, Dental Professionals are therefore responsible to
treat such patients in a harmonious way as adequate hemostasis is challenging as part of routine oral surgery and other dental procedures. The objective of this review was to discuss the
evidence-based practice guidelines based on available literature to manage patients with anti-
coagulants therapy seeking invasive dental procedures. According to the available literature, The evidence-based guidelines for anticoagulants such as Warfarin are well established. However,
there is an insufficient evidence available for new oral anticoagulants drugs. Nevertheless, risk
assessment and the standard INR value should be considered in relevance to consultation with
the patient’s physician must be taken into an account before any elective surgical procedures.Anticoagulant therapy must not be interrupted in patients undergoing minor surgical procedures. However, Local hemostatic measures are of utmost considerations and are effective in achieving hemostasis.