Welcome to this highly informative video pertaining to Blood Thinners and Dental Treatments 💊. In this episode, Dr. Chirag Chamria, Oral & Maxillofacial Surgeon at Royal Dental Clinics, Mumbai touches base with the vital topic of Blood Thinners and Dental Treatments.

Do I Stop Blood Thinners Before Treatment? In most cases, dental work won’t be affected by your use of a blood thinner. However, if an invasive procedure has the potential to cause bleeding, like a tooth extraction or gum surgery then you may be advised to stop blood thinners for a while. Because the blood doesn’t clot normally it may be difficult to stop the bleeding during such procedures.

To avoid undue complications, it’s always best to let your dentist or oral surgeon know what medications you’re taking, especially blood thinners. Most of the time bleeding from the dental procedures is not difficult to control even in patients who are on blood thinners. However, the risk of bleeding must be weighed against the risk of blood clot formation from changing the dose or discontinuing the medication.

Various opinions of antiplatelet drugs on dental treatment:
✅ No need to stop the medication for dental procedures like supra-gingival scaling, Root canal treatment, Class II fillings.
✅ If patient is on low dose aspirin like 75 mg no need to stop aspirin during routine dental extractions, deep scaling and curettage.
✅ Few studies have mentioned that aspirin should be stopped 3 days prior to invasive surgical procedures like implants, dis-impactions, flap surgeries because of increased risk of bleeding.
✅ Few recent studies mentioned that there is no need to stop aspirin prior to invasive surgical procedures if bleeding time is within normal range (Bleeding time if more than 20 mins need to stop aspirin).

What is difference between geriatric Dentistry and Young Adult Dentistry?
With geriatric dentistry the patient not only has a dental problem but also other comorbidities. Hence Dr. Chirag Chamria advises that in such cases have to be conservative, yet give the best possible treatment options. In the video Dr. Chirag Chamria take a deep dive into the topics of Antiplatelet or Anticoagulant therapy. These patients are usually on Blood Thinners. He further elaborates on Full mouth rehabilitation in patients taking blood thinners.

If need be, a blood report is also done of PT, APTT and INR. If the INR ratio is less than 3, then it is safe to proceed with the treatment. In cases where patient is undergoing stent placements or similar treatments, the dental treatment is deferred by 6 months. Since most of these patients cannot stop medication and we need to take cardiac fitness into consideration.

Dr. Chirag Chamria closes the video with an important note that certain vital medicines and the knowledge to use those medicines and its applications if of pivotal importance.

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