18 doctors weighed in:

85 yr old dad had stents in 2 arteries sept. 2012. Stopped plavix, (clopidogrel) still takes full aspirin. He needs a tooth extracted, does he go off aspirin?

18 doctors weighed in
Dr. Stephen Pyle
Dentistry
4 doctors agree

In brief: No

The current thinking is that it is more dangerous to go off of the blood thinner (risk of throwing a clot which could be fatal) than the risk of prolonged bleeding.

In brief: No

The current thinking is that it is more dangerous to go off of the blood thinner (risk of throwing a clot which could be fatal) than the risk of prolonged bleeding.
Dr. Stephen Pyle
Dr. Stephen Pyle
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Dr. Joseph Wineman
Dentistry
3 doctors agree

In brief: Aspirin regimen

For a single tooth extraction, stopping any anticoagulant drugs is not necessary.
Your dad may bleed a bit more and a bit longer but as long as the surgeon is careful and gentle he should do fine.

In brief: Aspirin regimen

For a single tooth extraction, stopping any anticoagulant drugs is not necessary.
Your dad may bleed a bit more and a bit longer but as long as the surgeon is careful and gentle he should do fine.
Dr. Joseph Wineman
Dr. Joseph Wineman
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1 comment
Dr. Russell Chin
I would stop asparin day before because bleeding longer and more at his age could be taxing to his heart.
2 doctors agree

In brief: Medical Clearance

The dentist who is treating him will confer with his primary care physician to determine if he can stop the Aspirin for a few days.
Do not stop any medications on your own.

In brief: Medical Clearance

The dentist who is treating him will confer with his primary care physician to determine if he can stop the Aspirin for a few days.
Do not stop any medications on your own.
Dr. Theodore Davantzis
Dr. Theodore Davantzis
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Dr. Paul Grin
Pain Management
1 doctor agrees

In brief: Do not discontinue

medication intake.
Current research suggests no need for discontinuing aspirin or Plavix (clopidogrel) therapy for routine and invasive dental procedures as any bleeding can be easily managed by local hemostatic methods.This recommendation, however, comes with a rider to use caution. If concerned consult with your doctor before any procedure.

In brief: Do not discontinue

medication intake.
Current research suggests no need for discontinuing aspirin or Plavix (clopidogrel) therapy for routine and invasive dental procedures as any bleeding can be easily managed by local hemostatic methods.This recommendation, however, comes with a rider to use caution. If concerned consult with your doctor before any procedure.
Dr. Paul Grin
Dr. Paul Grin
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1 doctor agrees

In brief: Ck with Cardiologist

need to consult with cardiologist and check his INR.
Most Oral Surgeons with extract teeth without takng patient off blood thinners

In brief: Ck with Cardiologist

need to consult with cardiologist and check his INR.
Most Oral Surgeons with extract teeth without takng patient off blood thinners
Dr. Keith Hollander
Dr. Keith Hollander
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Dr. Chet Desai
Dentistry

In brief: Possible

Need dentist and physician to communicate and adjust plavix/aspririn regimen for planned oral surgery.

In brief: Possible

Need dentist and physician to communicate and adjust plavix/aspririn regimen for planned oral surgery.
Dr. Chet Desai
Dr. Chet Desai
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