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.