“Dental implants ”

Having a history of deep vein thrombosis (DVT) and currently taking Eliquis (apixaban) is important information to consider before undergoing any surgical procedure, including dental implant surgery. Anticoagulants like Eliquis reduce the risk of blood clots but also increase the risk of bleeding during surgery. Here’s a general approach to managing this situation, but please remember that it’s essential to consult both your oral surgeon and the physician managing your DVT before making any changes to your medication.

General Guidelines for Dental Implant Surgery While on Eliquis
Consult with Your Physician and Surgeon The first and most important step is to consult with the doctor who prescribed Eliquis, as well as your oral surgeon. They can assess your current health, the stability of your DVT, and the overall risk of temporarily stopping or adjusting your medication.

Risk Assessment and Timing Depending on the stability of your DVT, your doctor may consider temporarily pausing Eliquis before surgery. This decision is highly individualized. For patients who need to be off anticoagulants temporarily, the standard recommendation is often to stop Eliquis 24-48 hours before the procedure. However, this timing can vary depending on your specific situation, kidney function, and the type of procedure.

Bridging Therapy (If Needed) In some cases, your physician may suggest a "bridging" therapy, where a different type of shorter-acting anticoagulant, such as heparin, is used temporarily. This approach allows you to be off Eliquis for a short time while still protecting against blood clots.

Post-Operative Resumption of Eliquis After the procedure, your oral surgeon will likely recommend resuming Eliquis as soon as it’s safe, typically within 24-48 hours, depending on bleeding risk and the stability of the implant site. Again, this should be done under guidance from both your surgeon and your physician.

Additional Precautions During Surgery During the implant procedure, your surgeon may take specific steps to minimize bleeding, such as using local hemostatic agents or minimally invasive techniques. Communicating with your oral surgeon about your medical history will help them prepare accordingly.

Final Steps
Since anticoagulation management is delicate, follow the instructions provided by your healthcare providers precisely. They may also want you to undergo additional tests, such as blood work, to determine your clotting status before surgery.

Patients usually do not have to stop Eliquis. Although it is a blood thinner it does not affect clotting ability like other types of Blood thinner. If your dentist is comfortable with that depending on the extent of the surgical procedure they may move forward or they may contact your PCP to see if you are able to discontinue the Eliquis.

Eliquis is a drug that cannot be reversed in the office in the event of a bleeding event. Your question about whether you can undergo surgery depends on what your doctor that has prescribed the Eliquis decides is in your best interest. I would not stop the Eliquis neither would I recommend undergoing any surgery without your MD's consent.

I would recommend to see your PCP for a medical clearance prior to having implants placed. Most likely your PCP will have you take a 3 day holiday of Eliquis prior to dental surgery.

The Eliquis would complicate the implant placement. It's best to consult your physician who put you on the Eliquis, to see if he (she) can safely stop the Eliquis for a short period of time to have the implant placed. Michael Frith DDS

You have to talk to your doctor to know if you can stop the medication (Eliquis) prior to implant surgery.

I’m sorry about your dvt. I would just postpone the implant placement until this got resolved. If that isn’t possible usually your off the thinner for 2-4 days depending on what your medical doctor thinks. He may feel it’s to soon for you to be off the thinners You should consult with him first and we can also request a clearance from him in case there are any pre cautions or concerns he /she may have. The clearance is a written form to a person doctor letting them know what procedure is to be done and if there will be any medical concerns

Tell your dentist. They will get medical clearance from your physician
with instructions.

When it comes to blood thinners, every surgeon is different. Some surgeons require an INR within 24 hours of placing your implant to check how quickly you stop bleeding. Usually they prefer you not to stop Eliquis before a surgeon because of how the medications work.

Hi,Every person is different and every situation needs to be managed carefully. Typically you should discontinue taking Eliquis 48 hours prior to an elective invasive procedure and resume it at your next regularly scheduled time. You should contact your prescribing physician and get his input. Dr. D