General advice
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Refer to Section 4 of the full guidance.
For all patients taking anticoagulants or antiplatelet drugs requiring dental treatment likely to cause bleeding (see Bleeding risks for dental procedures):
- plan treatment for early in the day and week;
- provide pre-treatment instructions;
- treat atraumatically, use appropriate local measures and only discharge the patient once haemostasis has been achieved;
- if travel time to emergency care is a concern, place particular emphasis on the use of measures to avoid complications;
- provide patient with written post-treatment advice and emergency contact details.
Do not interrupt anticoagulant or antiplatelet therapy for:
- patients with prosthetic metal heart valves or coronary stents;
- patients who have had a pulmonary embolism or deep vein thrombosis in the last three months;
- patients on anticoagulant therapy for cardioversion.