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Coumadin and Tooth Extractions

March 11, 2010

On several occasions dentists have asked that I stop patient’s Coumadin prior to dental extractions.  I have always complied with this request.  However, a cardiologist told one of my patients this was not necessary.  I decided to investigate this and found it true.   Extractions while on Coumadin are very safe, even if INR is above 3.0.  I do not think this is widely known as I mentioned this to several colleagues and they were unfamiliar with this.  In fact another cardiologist even thought it unsafe.  In any event here are the links and you and your patient can decide for yourselves:

Lack of a scientific basis for routine discontinuation of oral anticoagulation therapy before dental treatment

Safety of Outpatient Dental Procedures For Patients on Coumadin

One Comment leave one →
  1. September 29, 2011 10:43 am

    i have to agree that it is in fact safe. I thank you for the links and will follow up after i read abit more in both areas.
    Thanks,
    Tyler
    2011

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