dental procedure
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Complications
- invasive dental procedures are transiently at increased risk (4 weeks following procedure) for myocardial infarction (MI) or ischemic stroke[4]
Management
- NOT necessary to stop warfarin for dental procedures, provdided INR in the therapeutic range[1][3]
- NOT necessary to stop low-dose aspirin for dental procedures[2]
- tranexamic acid (Cyklokapron) or aminocaproic acid (Amicar) may be diluted & used as mouthwash to help prevent bleeding
- also see prophylaxis for bacterial endocarditis
- antibiotic prophylaxis may also be required for dental procedures in patients with aortic prosthesis (endovascular graft)[5]
More general terms
Additional terms
- antibiotic prophylaxis for bacterial endocarditis
- dentistry (oral health)
- prophylaxis for aortic prosthesis (endovascular graft)
References
- ↑ 1.0 1.1 Prescriber's Letter 9(7):41 2002
- ↑ 2.0 2.1 Prescriber's Letter 10(12):67-68 2003
- ↑ 3.0 3.1 Prescriber's Letter 11(11): 2004 Management of Anticoagulation During Invasive Procedures Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=201105&pb=PRL (subscription needed) http://www.prescribersletter.com
- ↑ 4.0 4.1 Minassian C et al Invasive dental treatment and risk for vascular events: a self-controlled case series. Ann Intern Med. 2010 Oct 19;153(8):499-506. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20956706
- ↑ 5.0 5.1 5.2 Abdominal Aortic Aneurysm. Society for Vascular Surgery In: Anello J, Feinberg B, Heinegg J et al New Clinical Practice Guidelines, February 2018. Medscape. February 07, 2018 https://reference.medscape.com/viewarticle/892328
Glovicki P, Lawrence PF, Forbes TL. Update of the Society for Vascular Surgery abdominal aortic aneurysm guidelines. J Vasc Surg. 2018 Jan;67(1):1. http://www.jvascsurg.org/article/S0741-5214(17)32369-8/fulltext