I have a 67 year old male patient with history of MI and cardiac stents replaced 2 years ago. Patient is taking Brilinta and aspirin along with statins. Patient has failing maxillary dentition which necessitates extractions, implants and osteoplasty. Treatment can be performed using guided surgery to improve implant placement with reduced time. Patient is an auctioneer who is hoping an immediate function prosthesis will allow him to avoid a denture. Cardiologist allows aspirin cessation for 7 days but keeping Brilinta due to risk of cardiac event. I have performed multiple extractions on patients taking Plavix and controlling bleeding with local measures but not Brilinta. I am looking for any advice from surgeons with experience from patients taking Brilinta.
(Editor’s Note: Brilinta (ticagrelor) prevents platelets in your blood from sticking together to form an unwanted blood clot that could block an artery. Brilinta is used together with aspirin to lower the risk of having a stroke, serious heart problems Learn More)
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