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Post-extraction haemorrhage — NDEB AFK MCQ

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HardOral SurgeryPost-extraction haemorrhageNDEB AFK

A 67-year-old on apixaban has persistent oozing after extraction of tooth 4.5. Vital signs are stable, the socket has a visible clot, and the medication was not interrupted. What is the most appropriate treatment?

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Correct answer: B — Local pressure, haemostatic packing, and suturing

Stable post-extraction oozing in an anticoagulated patient is usually managed first with local haemostatic measures such as pressure, packing, sutures, and tranexamic acid where appropriate. Routine reversal is not a dental-office response for stable minor bleeding. The pearl is to plan haemostasis before surgery and provide clear postoperative instructions.

Reference: Canadian dental pharmacology/oral surgery references; NDEB KSAs 2024