The management of dental patients taking new generation oral anticoagulants

Recently, new oral anticoagulants have been introduced as alternatives to warfarin. While national guidelines for treatment of dental patients taking warfarin as an anticoagulant are well-established, no such information is available for these novel therapeutic agents. At present, the local guidance...

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Bibliographic Details
Published in:Primary dental journal 2014-11, Vol.3 (4), p.54-58
Main Authors: Scott, Alun, Gibson, John, Crighton, Alexander
Format: Article
Language:English
Subjects:
Anesthetics, Local - administration & dosage
Anticoagulants - therapeutic use
Antithrombins - therapeutic use
Benzimidazoles - therapeutic use
beta-Alanine - analogs & derivatives
beta-Alanine - therapeutic use
Dabigatran
Dental Care for Chronically Ill
Dentistry
Drug Interactions
Factor Xa Inhibitors - therapeutic use
Hemostatic Techniques
Humans
Morpholines - therapeutic use
Oral Surgical Procedures - classification
Postoperative Hemorrhage - prevention & control
Postoperative Hemorrhage - therapy
Practice Guidelines as Topic
Pyrazoles - therapeutic use
Pyridones - therapeutic use
Rivaroxaban
Thiophenes - therapeutic use
Warfarin - therapeutic use
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Summary:Recently, new oral anticoagulants have been introduced as alternatives to warfarin. While national guidelines for treatment of dental patients taking warfarin as an anticoagulant are well-established, no such information is available for these novel therapeutic agents. At present, the local guidance available is contradictory between different health boards/health planning units, and liaison with the medical practitioner managing the individual patient's anticoagulation is imperative if any invasive procedure is proposed. This paper examines the available evidence regarding these drugs and sets out proposals for clinical guidance of dental practitioners treating these patients in primary dental care.
ISSN:2050-1684
2050-1692
DOI:10.1308/205016814813877289