Authors : Dr. Malaika Dedhia; Dr. Khalid Mohammed Agwani; Dr. Sushmit Rajpur; Dr. Dishantkumar Sonpal; Dr. Shubham Pachwaria; Dr. Saloni Chordia

Volume/Issue : Volume 10 - 2025, Issue 12 - December

Google Scholar : https://tinyurl.com/y96du9mx

Scribd : https://tinyurl.com/46emnmv8

DOI : https://doi.org/10.38124/ijisrt/25dec596

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Abstract : Background: The growing use of antithrombotic medications has significantly influenced clinical decision-making in oral and maxillofacial surgery, where the risk of perioperative bleeding must be balanced against potentially life-threatening thromboembolic events. Traditional approaches often relied on discontinuing therapy, yet contemporary evidence demonstrates that most haemorrhagic complications can be safely prevented or controlled through structured assessment and refined local haemostatic strategies.  Aim: This review examines current evidence regarding haemorrhage management in patients receiving antithrombotic therapy and synthesises a practical, evidence-based protocol tailored to the needs of oral surgeons. It highlights risk assessment principles, operative strategies, and the role of multidisciplinary care in preventing bleeding while maintaining systemic protection.  Conclusion: Available literature consistently supports the continuation of antithrombotic therapy for the majority of oral surgical procedures, with effective haemostasis achieved through meticulous technique, appropriate local measures, and patient- specific planning. By integrating established clinical evidence into a unified protocol, this review provides oral surgeons with a reliable framework to optimise patient safety and outcomes in the antithrombotic era.

Keywords : Anticoagulants; Platelet Aggregation Inhibitors; Oral Surgical Procedures; Hemostasis; Postoperative Hemorrhage.

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