Remove the tooth, but don't stop the warfarin.
BACKGROUND
Dentists rely on general practitioners to manage a patient's warfarin dose before uncomplicated dental extraction.


OBJECTIVE
This article compares common practice of warfarin management with the available clinical evidence.


CONCLUSIONS
Common practice lags more than 20 years behind clinical evidence to the detriment of patients, and with medicolegal consequences for doctors.
Kamien
Max
M
University of Western Australia, Western Australia. cyllene.uwa.edu.au
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000150:complications / Q000628:therapy; D019317:Evidence-Based Medicine / Q000379:methods; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve; D017410:Practice Guidelines as Topic; D020521:Stroke / Q000209:etiology / Q000517:prevention & control; D014081:Tooth Extraction / Q000009:adverse effects; D014859:Warfarin / Q000627:therapeutic use*
D000925:Anticoagulants; D014859:Warfarin