Anticoagulants are used to prevent occurrence and recurrence of thromboembolic disease and may also be used following coronary and cerebral thrombosis.
In patients treated with anticoagulants, there is a danger that any trauma may result in prolonged bleeding. The patient's medical practitioner should be consulted prior to performing tooth removal or surgery as in some patients a reduction in the dose of the anticoagulant drug may be required. The aentist should not adjust the dose, nor should vitamin K be used.
Where major dental surgery is to be performed, the patient should be treated in hospital where post-operative supervision is available.
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