Impact of Blood Thinners on Dental Treatment
The advantages of novel oral anticoagulants (NOACs) include which of the following?
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How many prescriptions of the NOAC dabigatran were filled in its first 5 years?
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Which of the following NOAC is currently approved by the United States Food and Drug Administration?
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The most common adverse effects of NOACs are extensions of their therapeutic effects, namely bleeding events.
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Stopping the use of NOACs is indicated for dental hygiene procedures, including periodontal debridement and scaling and root planing.
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Medical consultation is advised when patients require oral/periodontal surgery. Studies that included NOACs and warfarin have shown that timing a procedure further out from NOAC dosing, the use of atraumatic techniques, and employing local hemostatic measures resulted in minimal adverse outcomes.
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Conservative measures to eliminate oral inflammation and control disease are prudent in all patients with increased bleeding risk.
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