Direct oral anticoagulants, vitamin K antagonists, and simple single tooth extraction

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Vitamin K antagonists, direct oral anticoagulants, and the rationale for reversal agents.

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Is it necessary to alter anticoagulation therapy for tooth extraction in patients taking direct oral anticoagulants?

BACKGROUND The number of patients using direct oral anticoagulants (DOACs) instead of vitamin K antagonists (VKA) is increasing and there is limited data on the safety of tooth extractions in patients taking DOACs. The aim of this study was to compare the amount of bleeding (AOB) and postoperative complications after tooth extractions between patients taking VKAs and patients taking DOACs witho...

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A lthough they are valuable when used to reduce the risk of thrombosis in several diverse clinical conditions, the vitamin K antagonists (VKAs) bring with them several challenges. These include the need for regular blood tests (perhaps 4 to 6 times weekly), which are expensive and inconvenient to manage; a narrow therapeutic window; interactions with many other drugs; alcohol and diet restricti...

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ژورنال

عنوان ژورنال: Clinical Oral Investigations

سال: 2019

ISSN: 1432-6981,1436-3771

DOI: 10.1007/s00784-019-02836-w