Dental management of patients taking novel oral anticoagulants (NOAs): Dabigatran. 2017

Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
Department of Surgery, Faculty of Medicine, University of Salamanca, Salamanca, Spain.

BACKGROUND A new group of oral anticoagulants (dabigatran, rivaroxaban, apixaban and edoxaban) with clear advantages over classic dicoumarin oral anticoagulants (warfarin and acenocoumarol) has been developed in recent years. Patients being treated with oral anticoagulants are at higher risk for bleeding when undergoing dental treatments. METHODS A literature search was conducted through April 2016 for publications in the ISI Web of Knowledge, PubMed and Cochrane Library using the keywords "dabigatran", "rivaroxaban", "apixaban", "edoxaban", "new oral anticoagulants", "novel oral anticoagulants", "bleeding" and "dental treatment". RESULTS There is no need for regular coagulation monitoring of patients on dabigatran therapy. Whether or not to temporarily discontinue dabigatran must be assessed according to the bleeding risk involved in the dental procedure to be performed. CONCLUSIONS The number of patients under treatment with new oral anticoagulants will increase in the coming years. It is essential to know about the pharmacokinetics and pharmacodynamics of new oral anticoagulants and about their interactions with other drugs. It is necessary to develop clinical guidelines for the perioperative and postoperative management of these new oral anticoagulants in oral surgical procedures, and to carefully evaluate the bleeding risk of dental treatment, as well as the thrombotic risk of suppressing the new oral anticoagulant. Key words:Dabigatran, rivaroxaban, apixaban, edoxaban, novel oral anticoagulants, bleeding.

UI MeSH Term Description Entries

Related Publications

Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
March 2018, Oral diseases,
Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
August 2016, Journal of plastic, reconstructive & aesthetic surgery : JPRAS,
Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
January 2016, BMC oral health,
Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
November 2014, Primary dental journal,
Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
July 2014, International journal of stroke : official journal of the International Stroke Society,
Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
July 2015, BMJ (Clinical research ed.),
Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
May 2018, JAMA,
Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
February 2014, Gastroenterology & hepatology,
Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
January 2019, Clinical oral investigations,
Adrian Curto, and Alberto Albaladejo, and Alfonso Alvarado
November 2015, BMJ case reports,
Copied contents to your clipboard!