![]() ![]() There are sound legal reasons to continue therapeutic levels of warfarin for dental treatment. Many authorities state that dental extractions can be performed with minimal risk in patients who are at or above therapeutic levels of anticoagulation. In reviewing the available literature, there are no well-documented cases of serious bleeding problems from dental surgery in patients receiving therapeutic levels of continuous warfarin sodium therapy, but there were several documented cases of serious embolic complications in patients whose warfarin therapy was withdrawn for dental treatment. Many physicians recommend interrupting continuous anticoagulant therapy for dental surgery to prevent hemorrhage. Shared Decision Making and CommunicationĬontinuous oral anticoagulant therapy has been used to decrease the risk of thromboembolism for more than half a century, prolonging the lives of thousands of patients. ![]()
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