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.