DAPT and Dental Extraction — NDEB AFK MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: E — Continue both antiplatelet agents and use local haemostatic measures
Current guidelines strongly recommend NOT interrupting dual antiplatelet therapy (DAPT) for dental extractions, especially within the first 6-12 months after coronary stent placement. Premature cessation of DAPT carries a significant risk of stent thrombosis (potentially fatal MI). The bleeding risk from dental extraction is manageable with local haemostatic measures (sutures, tranexamic acid, gelatin sponge, compression). Consultation with the patient's cardiologist is advisable.
Reference: SDCEP – Management of Dental Patients Taking Anticoagulants or Antiplatelets, 2022