The 2018 European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation:
Dental surgery is generally considered a procedure with minor bleeding risk and with the possibility for adequate local haemostasis. Most professional statements on dental surgery advise not to suspend NOAC treatment and avoid the use of NSAIDs. However, recommendations are often based on a low quality of evidence and mainly rely on available pharmacological information. Dental extractions can generally be performed safely in an outpatient facility by applying local haemostatic measures, without interrupting anticoagulation or by just skipping the morning dose of the NOAC. Periprocedural management includes specific haemostatic techniques including the use of oxidized cellulose or absorbable gelatin sponge, sutures, tranexamic acid mouthwashes, or compressive gauze soaked in tranexamic acid. Interventions with minor bleeding risk
Dental interventions
Extraction of 1–3 teeth
Paradontal surgery
Incision of abscess
Implant positioning
|