Feb 22, 2012

Heart attack and Dental Treatment


Heart Attack & Dental Treatment - Precautions
Are you a patient with a history of Heart attack or cardiac Stroke? 

Are you taking medications like aspirin, warfarin, acenocoumarol, dipyridamole, clopidogril, or ticlopidine to prevent heart attack or stroke, resulting from a blood clot? 

Have you been advised to  reduce the dosage or stop taking these medications entirely before receiving dental care, because it might take longer than expected for the bleeding to stop and there would be a risk of excessive bleeding due to difficulty in clot formation after certain invasive dental procedures?
 
Should aspirin be stopped before dental treatment?
Contrary to the common anecdotal belief,
In February 2007, the American Heart Association, the American College of Cardiology, the Society for Cardiovascular Angiography and Interventions, the American College of Surgeons, and the American Dental Association published their consensus opinion about drug-eluting stents and antiplatelet therapy. It is generally agreed that anticoagulant drug regimens should not be altered prior to dental treatment.

A literature review and guideline development process conducted by the Oral Medicine and Oral Surgery Francophone Society found that, based on agreement among professionals in the field, interruption of aspirin or thienopyridine therapy before dental procedures is unnecessary. Any bleeding that occurs can usually be controlled by local haemostasis. 

If you stop taking, or take less of, the anticoagulant medication, you increase your chance for blood clot development, which could result in thromboembolism, stroke or heart attack.  

The risks of stopping or reducing this medication routine outweigh the consequences of prolonged bleeding, which can be controlled with local measures by your dental surgeon.  

Some patients who are taking these anticoagulant medications have additional medical problems that increase the risk of prolonged bleeding after dental treatment.  These medical conditions include liver impairment or alcoholism, kidney failure and certain blood disorders. If you are curious about how these conditions or medications might affect you while undergoing dental treatment then contact your doctor or dentist for further clarification.

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