Does blood thinners need to be stopped before extraction? - Dr. Pujari M R

Many patients are visiting the dentist when the tooth is more decayed, and you cannot save the tooth by root canal, then you have to go for extraction. So in extraction, in patients above 40, 50, 60 years, we have seen patients having cardiac problem. In patients having cardiac problem, they must have undergone angioplasty, or having high BP or undergone a bypass surgery. In that usually their cardiologist will give them blood thinners. These blood thinners have to be stopped before doing any extraction or minor surgical procedures. Treatments like tooth fillings, root canal treatments are quite safe. You don’t have to stop your blood thinners. But when you have other surgery, or tooth extraction, you have to stop the blood thinners 2 days prior and stop 2 days post extraction. So prior 2 days and post 2 days of extraction is very important to stop these blood thinners. If we don’t stop these blood thinners, there is high chance that the blood loss will be more as often blood will not stop immediately. Then the doctor has to stop the blood by hemostatic agents. So just to be on a safer side, it is not a big complication. Just to be on a safer side, it is better to stop and the patients can resume back after 2 days with these medications.

[vishalpatil]

Thank you so much sir for this information 🙇

[myayear]

I went to the Hospital now (Friday) because I will have tooth extraction on Monday. They want me to be in my INR range 2-3 and CONTINUE my dose. Why is it? I am honestly doubting now. I am from Spain btw

[marshallderriek]

The reason we take them is the risk of a blood clot .. we could have a heart attack and the tooth extraction went well