Oral anticoagulant therapy: Preventing bleeding in patients having dental extractions

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This Cochrane review of antifibrinolytic agents for preventing bleeding in people on oral anticoagulants undergoing dental extractions or minor oral surgery included 4 RCTs. Topical tranexamic acid was effective in reducing post-operative bleeding following dental procedures.

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Tranexamic acid for minor oral surgery in anticoagulated patients

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5 good but small RCTs were identified for this review of topical tranexamic acid (TXA) for minor oral surgery in patients on anticoagulants. The findings suggest that TXA irrigation and mouthwash may reduce the risk of bleeding.

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Guidance on management of dental patients taking anticoagulants or antiplatelet drugs

SDCEP-Anticoagulants & antiplatelets

This new guidance from the Scottish Dental Clinical Effectiveness Programme (SDCEP) provides recommendations for dental patients taking anticoagulants or antiplatelet drugs

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