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.