Dental Procedure

From Anvita Health Wiki

Contents 1 Complications 2 Management 3 More General Terms 4 Additional Terms 5 References

Complications

• invasive dental procedures are transiently at increased risk (4 weeks following procedure) for myocardial infarction ( MI) or ischemic stroke [4]

Management

• NOT necessary to stop warfarin for dental procedures, provdided INR in the therapeutic range [1,3]
• NOT necessary to stop low-dose aspirin for dental procedures [2]
• tranexamic acid ( Cyklokapron) or aminocaproic acid ( Amicar) may be diluted & used as mouthwash to help prevent bleeding

• rinse with 10-15 mL for 2 minutes then spit out
• rinse 30 minutes before procedure, then QID for 1 or 2 days
• avoid rinsing too hard as this may dislodge any clot that may have formed after the procedure

More General Terms

• oral surgery

Additional Terms

• antibiotic prophylaxis for bacterial endocarditis
• dentistry (oral health)

References

1. Prescriber's Letter 9(7):41 2002
2. Prescriber's Letter 10(12):67-68 2003
3. Prescriber's Letter 11(11): 2004 Management of Anticoagulation During Invasive Procedures Detail-Document#: [1] (subscription needed) [2]
4. Minassian C et al Invasive dental treatment and risk for vascular events: a self-controlled case series. Ann Intern Med. 2010 Oct 19;153(8):499-506. PMID: [3]
5. National Guideline Clearinghouse Guideline for the management of patients on oral anticoagulants requiring dental surgery. British Committee for Standards in Haematology ngc-guideline: [4]
   - Guideline on antibiotic prophylaxis for dental patients at risk for infection. American Academy of Pediatric Dentistry ngc-guideline: [5]

dental procedure