Dental surgery in patients undergoing therapy with antiplatelet drugs and oral anticoagulants: a literature review

Alexandre da Silveira Gerzson, Lorenzo Grassi, Luis Artur Zenni Lopes e Lucia Hiromi Hiwatashi Gallicchio

Dental surgeries performed in patients undergoing antiplatelet drugs and/or oral anticoagulants therapy is a controversial issue. Many professionals unaware of those medications or the proper means to treat those patients recommend, without any scientific basis, suspension or dosage alteration of those medications without consulting the physician assisting the patients. Objective: to perform a literature review on the proper and safer means employed to treat those patients, thus enlightening how to reach diagnosis, determine the previous examination to be requested as well as the risks arising from the maintenance or interruption of therapy with anticoagulants. This article also reviewed the drugs used for those purposes, their mechanism of action and clinical behavior, aiming to elucidate the real risks to which patients are exposed.

Keywords: Anticoagulants. International normalized ratio. Blood coagulation. Platelet aggregation inhibitors.

How to cite: Gerzson AS, Grassi L, Lopes LAZ, Gallicchio LHH. Dental surgery in patients undergoing therapy with antiplatelet drugs and oral anticoagulants: a literature review. J Clin Dent Res. 2016 Apr-June;13(2):98-105. DOI: http://dx.doi.org/10.14436/2447-911x.13.2.098-105.oar

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