Anticoagulants and dentistry
Deep Vein Thrombosis
Swelling and redness of the leg caused by a DVT
A DVT is a blood clot in a vein, usually the leg, but sometimes the abdomen or arm. It is often unexpected, so preventive anticoagulants have not been prescribed. The trigger is not always known.
- are over 60
- are overweight
- smoke
- have had DVT before
- take the contraceptive pill or HRT
- have cancer or heart failure
- have varicose veins
Treatment of DVT
An anticoagulant injection of heparin is initially given, while waiting for ultrasound scan results.
After DVT is diagnosed, the main treatment is oral anticoagulant tablets for at least 3 months, to help dissolve the clot.
If anticoagulant medicines are not suitable, a filter may be placed in the vena cava (the vein that returns blood to the heart). The filter traps and stops clots travelling to the heart and lungs.
DVT in pregnancy is treated differently. It is treated with anticoagulant injections for the rest of the pregnancy and until the baby is 6 weeks old.