Can Aspirin Be Continued during Dental Extraction?

Aspirin is the most commonly used preventive and therapeutic agent for vascular ischemic events[1]. Moreover, aspirin is indicated in other conditions such as inflammatory joint diseases [2]. Dental extraction is a very common procedure done under local anesthesia where the diseased, redundant or problematic tooth is removed. The prevalence of teeth mortality is more from 35 to 64 years [3]. This age range overlaps with those who are advised aspirin prophylaxis against thrombo embolic events. A general dental practitioner is always undecisive or reluctant to do tooth extraction in these patients for the fear of postoperative uncontrolled bleeding. The aim of this article is to know whether it is justifiable to discontinue aspirin during extraction. We conclude that by stopping aspirin there is a risk of vascular problem which can cause high morbidity rate. So low dose Aspirin (75-300mg/day) monotherapy can be continued by taking local hemostatic measures during dental extraction.