Question

A patient taking low-dose aspirin (75 mg) for angina is scheduled for endodontic treatmentWhat should be done regarding aspirin therapy?

• A. Stop 3–4 days before
• B. No need to stop
• C. Stop 1 hour before
• D. Stop 1 day before

Hint:

For most routine dental procedures, including extractions and endodontic therapy,
low-dose aspirin therapy should NOT be discontinued due to risk of thromboembolism.

Answer 1

The Correct Option is B

Step 1: Understanding Low-Dose Aspirin Therapy.
Low-dose aspirin (75 mg) is commonly prescribed as an antiplatelet agent for prevention of cardiovascular events such as angina, myocardial infarction, and strokeIt works by irreversibly inhibiting platelet aggregation
Step 2: Dental Considerations.
Endodontic procedures are generally associated with minimal bleedingRisk of thromboembolic events due to discontinuation of aspirin is significantly higher than the risk of bleeding during routine dental proceduresCurrent guidelines recommend continuation of low-dose aspirin for most dental treatments including endodontic therapy
Step 3: Risk–Benefit Analysis.
Stopping aspirin may increase the risk of serious cardiovascular complicationsLocal hemostatic measures are usually sufficient to control bleeding if requiredTherefore, aspirin therapy should not be discontinued for routine endodontic treatment
Step 4: Conclusion.
Since the risk of stopping aspirin outweighs the minor bleeding risk, the correct answer is No need to stop