MINOR ORAL SURGICAL PROCEDURES IN PATIENTS ON ANTICOAGULANT THERAPY

Anticoagulant drugs are widely used for the prevention and management of arterial and venous thromboembolism. the handling of these drugs requires correct monitoring and dose adjustment to obtain the desired therapeutic effect while minimizing the adverse effects associated both with excessive anticoagulation and with insufficient antithrombotic action. this is particularly important when patients must be subjected to surgical procedures such as tooth extractions. in the present study, it was reviewed that scientific recommendations for the management of anticoagulated patients for minor oral surgery. in recent years, most studies do not recommend reducing or interrupting anticoagulation, or replacing it with heparin, prior to minor oral surgery procedures such as simple a tooth extraction - provided therapeutic international normalized ration (inr) levels are maintained, with emphasis on the application of local measures for haemostasis. any changes in anticoagulant therapy must be undertaken in collaboration with the patient’s prescribing physician.