Warfarin patients

Patients taking anticoagulants/blood thinners and dental treatments

Are patients taking anticoagulants allowed to undergo dental treatment?

Can patients taking anticoagulants undergo implantation? –Frequently asked questions!

The answer is "basically yes!"

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Albeit the patient needs to consult with their GP or internist to find out to what extent the amount of medicine taken can be altered without any risks. Alteration is only required for the day of implantation! For the period of healing from implantation (in general between 3-6 months) or the period of healing after other treatments (in general between 5-10 working days) the alteration of the amount of medicine taken is not needed anymore.

As a patient, please, visit and consult your GP, dentist or internist! Taking blood thinners does not mean in general that you need to forget about getting implants and enjoy the comfort of them.

In many cases it is not even necessary to break off your therapy or change over to Heparin. Studies have obviously proved by now: in the case of simple oral surgical procedures, patients do not usually need to discontinue taking anticoagulants (e.g. Warfarin, Coumadin, Marevan, Lawarin, Waran, Warfant) or acetylsalicylic acid as well as other blood thinner medicine. Discontinuing taking medicine may cause many hazardous risks. If patient discontinues taking their medicine the risk of thrombosis and embolism becomes much higher than theoretically exiting risks of life-threatening bleeding in consequence of oral surgical procedure.

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In such a case close collaboration between dentist and GP is required as often even GPs overestimate the hazard of bleeding after oral surgical procedures.

If the intensity of blood thickening lies in the common area, the postoperative hazard of bleeding in the case of smaller, simpler procedures like extraction or even implantation is not any higher than with healthy people not taking anticoagulants. Local measures to stop bleeding as collagen sponges put into the wound, careful suturing, eventually bound as well as mouth wash with tranexamic acid are generally enough. Experts are not yet at one with the question if entire plastic coverage of a wound caused by extraction is sensible to do with the help of a cloth or if the additional tissue trauma caused by that may as well foster the arising of postoperative bleeding.

Should you have any further questions, we are at your disposal. We look forward to your hearing your appointment request, so we can convince you of the high quality our services and win your confidence. We remain in deep respect and hope to see you soon personally.

From a fixed line network under: 00800 9200 9200 
(only available from the UK)

Tel.: 0036-96-566-076

Your Denis & Focus Dental Centre