Dental Management of Antiplatelet-Receiving Patients: Is Uninterrupted Antiplatelet Therapy Safe?

Dental Extraction Can Be Performed Safely in Patients on Aspirin Therapy: A Timely Reminder

“…They further stated that if procedural safety was based merely on the incidence of bleeding complication, then the study of Lillis et al might be interpreted as evidence of increased bleeding risk in patients on single and dual antiplatelet therapy particularly for dual therapy. However, if additional meaningful clinical parameters such as time frame of occurrence of increased bleeding and efficacy of local hemostatic measures to control bleeding are added, then the results can be interpreted differently; that is, patients on antiplatelet therapy have increased incidence of prolonged bleeding when compared to control group, but the increased bleeding was presented in the time frame of safe clinical setting and can be easily controlled by local hemostatic measures [65]. …”

Management of anticoagulated patients in implant therapy: a clinical comparative study

“…In terms of platelet aggregation inhibitors (PAI), there is a clear consensus today, saying that PAIs should not be discontinued in dental procedures (Ardekian et al 2000;Pototski & Amenabar 2007;Krishnan et al 2008;Al-Harkan & Al-Ayoub 2012;Koskinas et al 2012).…”

Clinical implications of prescribing nonsteroidal anti-inflammatory drugs in oral health care—a review

“…49 However, recent studies have reported that the riskebenefit analysis favors continuing aspirin anticoagulant therapy even during dental extractions, as bleeding can be safely controlled with local homeostatic measures except in a small number of patients in whom embolic events may prove fatal. 50,51 Mucosal lesions can occur with any of the NSAIDs. They can occur alone (e.g., aphthous ulcers) or in association with nonmucosal disorders (e.g., SJS and TEN).…”