General advice

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