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Type: Journal article
Title: Current concepts of the management of dental extractions for patients taking warfarin
Author: Carter, G.
Goss, A.
Lloyd, J.
Tocchetti, R.
Citation: Australian Dental Journal, 2003; 48(2):89-96
Publisher: Australian Dental Assn Inc
Issue Date: 2003
ISSN: 0045-0421
Statement of
G Carter, AN Goss, JV Lloyd, R Tocchetti
Abstract: Background: Controversy has surrounded the correct management of patients therapeutically anticoagulated with warfarin who require dental extractions. The risk of bleeding must be weighed up against the risk of thromboembolism when deciding whether to interfere with a patient's warfarin regimen. An improved understanding of the importance of fibrinolytic mechanisms in the oral cavity has resulted in the development of various local measures to enable these patients to be treated on an outpatient basis. Methods: A review of the literature was undertaken. This was supplemented by the authors' clinical trials and extensive clinical experience with anticoagulated patients. Results: Various protocols for treating patients taking warfarin have been reviewed and summarized and an overview of the haemostatic and fibrinolytic systems is presented. A protocol for management of warfarinized patients requiring dental extractions in the outpatient setting is proposed. Conclusions: Patients therapeutically anticoagulated with warfarin can be treated on an ambulatory basis, without interruption of their warfarin regimen provided appropriate local measures are used.
Keywords: Warfarin; anticoagulation; extractions; oral surgery
Description: The document attached has been archived with permission from the Australian Dental Association. An external link to the publisher’s copy is included.
RMID: 0020032164
DOI: 10.1111/j.1834-7819.2003.tb00015.x
Published version:
Appears in Collections:Dentistry publications

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