Managing the bleeding patient in the dental chair — from gelfoam to DOACs
BDS · NEET-MDS · State-PSC Dental · TOPIC PHARM-06 Haemostatics, Anticoagulants & Antiplatelets Managing the bleeding patient in the dental chair — from gelfoam to DOACs Bleeding in the dental chair is almost never about the drill — it is about who is on what medicine . A generation ago the answer was to stop the anticoagulant, extract, and re-start it. That advice killed patients (stroke and MI risk from stopping outweighs the bleeding from a socket) and it is now formally reversed by every major society. The modern doctrine has three pillars — do not interrupt therapeutic anticoag…
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