Enoxaparin
Low-molecular-weight heparin (injectable anticoagulant)
Brand names: Lovenox
Oral health effects
Prolonged / increased bleeding
Increased bleeding tendency during and after invasive dental procedures (extractions, scaling and root planing, surgery). Often used as a bridge; coordinate timing of invasive care with the physician.
Clinical management: Use local hemostatic measures (pressure, sutures, oxidized cellulose, tranexamic acid mouthwash). For most procedures, do not interrupt therapy without physician consultation; plan early-day, atraumatic treatment.
Sources
- Frequency and Severity of Post-Procedure Bleeding Events Following Dental Extractions Completed in Patients on Heparin Therapy. Lopez Silva CP, Lim B, Sundaresan PD, et al. Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 2025.