What preparations should be made before impacted tooth extraction in heart patients taking blood thinners?

Patients who regularly use blood thinners (anticoagulants or antiplatelets) due to cardiovascular disease, arrhythmias, or the risk of blood clots must follow a very strict protocol before impacted tooth extraction. It is absolutely vital for these patients to stop or reduce their medication on their own. At least a few days before the extraction, the dentist will consult with the cardiology or internal medicine specialist who is monitoring the patient. Following the doctor’s advice, the medication dosage will be adjusted, a switch to short-acting injectable forms may be made, or the extraction may be performed safely by maximizing local hemostatic measures (special sponges, tight sutures, bone wax) without altering the medication. After bleeding control is achieved, routine medication use will be resumed under the doctor’s supervision.