We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Other Articles |

Dental Therapy During Anticoagulant Therapy

A. M. Ziffer, M.D.
JAMA. 1961;177(6):461. doi:10.1001/jama.1961.03040320105014.
Text Size: A A A
Published online


To the Editor:  Reference is made to the article by Behrman and Wright, "Dental Surgery During Continuous Anticoagulant Therapy" (JAMA175: 483 [Feb. 11] 1961), in which the authors state that my report of experience with 2 patients "appears to have been unduly alarming."Our 2 patients, both maintained at hypoprothrombinemic levels within the range recommended by Dr. Wright, underwent dental extraction performed by the chief of the dental service of a VA hospital. In both our patients, bleeding could only be controlled by returning the prothrombin level to normal by the use of vitamin K1 oxide. In view of a fall in the hemoglobin level from 14.0 to 7.1 gm. per 100 cc. before appropriate therapy was instituted, we feel that 1 patient might have died of exsanguination. It should be emphasized that this same patient who hemorrhaged profusely following 2 separate extractions under hypoprothrombinemia had no difficulty


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.