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Studies show that holding single antithrombotic agents perioperatively increases the risk of acute thrombotic events and does not significantly decrease the risk of bleeding complications in minor dental procedures.
Minor dental procedures are associated with little blood loss.
Major bleeding is rare with continuation of therapeutic anticoagulation. Bleeding risks increase when aspirin and NSAIDs are given in addition to VKAs.
Patients should be given instructions to deal with potential bleeding, and should be advised about when to seek medical attention for excessive bleeding.
Continuing warfarin therapy does not increase risk of bleeding for patients undergoing minor dental procedures. Brewer AK. Evid Based Dent. 2009;10(2):52.
Dental surgery for patients on anticoagulant therapy with warfarin: a systematic review and meta-analysis. J Can Dent Assoc. 2009 Feb;75(1):41.
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