Should antiplatelet drugs be stopped before dental extraction? 。

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Quick answer

Usually, no. For routine dental extraction, antiplatelet medicines such as aspirin, clopidogrel, ticagrelor, or dual antiplatelet therapy are generally continued. The bleeding is usually controllable with local measures such as pressure, sutures, a haemostatic dressing, and tranexamic-acid mouthwash where appropriate.
Stopping them can cause serious harm, including stent thrombosis, heart attack, or stroke, particularly if antiplatelets were prescribed after a recent coronary stent or acute coronary syndrome.
Do not stop antiplatelet drugs on your own. The dentist should confirm:
  • the drug(s) and indication,
  • whether more than a simple extraction or extensive surgery is planned,
  • other bleeding risks, such as anticoagulants, liver disease, or low platelets.
If interruption is being considered, it should be decided jointly by the prescribing cardiologist/physician and dentist.
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