Postextraction hemostasis in patients on anticoagulant therapy: the use of a fibrin sealant

A simple and safe method of achieving hemostasis after tooth extraction in patients on anticoagulant therapy is described. The use of a tissue sealant turns a complicated, difficult, and risky dental procedure into a simple one, suitable for any dental clinic. Sixty-one teeth were extracted in 23 sessions. Only four cases of very slight postsurgical bleeding were reported. Dental treatment of the majority of these medically compromised peopl e can be performed by private practitioners, without referring the patients to specialty care centers.