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tobagotwo

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More info for discussions with your dentist regarding being on ACT for dental procedures...

From the Journal of the American Dental Association: http://jada.ada.org/cgi/content/full/131/1/77 MYTHS OF DENTAL SURGERY IN PATIENTS RECEIVING ANTICOAGULANT THERAPY MICHAEL J. WAHL, D.D.S.
Results. Of more than 950 patients receiving continuous anticoagulant therapy (including many whose anticoagulation levels were well above currently recommended therapeutic levels) who underwent more than 2,400 surgical procedures, only 12 (< 1.3 percent) required more than local measures to control hemorrhage. Only three of these patients (< 0.31 percent) had anticoagulation levels within or below currently recommended therapeutic levels. Of 526 patients who experienced 575 interruptions of continuous anticoagulant therapy, five (0.95 percent) suffered serious embolic complications; four of these patients died.

Conclusions. Serious embolic complications, including death, were three times more likely to occur in patients whose anticoagulant therapy was interrupted than were bleeding complications in patients whose anticoagulant therapy was continued (and whose anticoagulation levels were within or below therapeutic levels). Interrupting therapeutic levels of continuous anticoagulation for dental surgery is not based on scientific fact, but seems to be based on its own mythology.
But there's more in the article, including a list of the five "MYTHS OF DENTAL SURGERY IN PATIENTS RECEIVING ANTICOAGULANT THERAPY." This is the type of article that can help you make a point, if you wish to, or provide subject matter information for a realistic discussion with your dental practitioner.

Best wishes,
 
More info for discussions with your dentist regarding being on ACT for dental procedures...

From the Journal of the American Dental Association: http://jada.ada.org/cgi/content/full/131/1/77 MYTHS OF DENTAL SURGERY IN PATIENTS RECEIVING ANTICOAGULANT THERAPY MICHAEL J. WAHL, D.D.S. But there's more in the article, including a list of the five "MYTHS OF DENTAL SURGERY IN PATIENTS RECEIVING ANTICOAGULANT THERAPY." This is the type of article that can help you make a point, if you wish to, or provide subject matter information for a realistic discussion with your dental practitioner.

Best wishes,

Bob:

Thanks for the link. I read the 5 Myths. Very good to arm ourselves with that!
 
Never hurts to get it reinforced again. Apparently, from the questions we see here, there are dentists out there who don't read professional journals. :rolleyes:

I know. We still have members that don't read old threads or search either. No offense to those recently posting.
 

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