A patient taking multiple medications (aspirin 81mg, clonazepam, and others) needs an extraction and is nervous. Which statement about aspirin management is most appropriate?

Correct answer: D. Continue aspirin 81mg without discontinuation

• A. Switching to ibuprofen also has antiplatelet effects and introduces additional GI and renal risks without benefit.
• B. Tranexamic acid (antifibrinolytic) may be used as an adjunct local hemostatic agent but does not replace continuation of aspirin therapy.
• C. Discontinuing aspirin before dental procedures increases thromboembolic risk and is not recommended for low-dose aspirin.
• D. Correct. Current evidence and AHA/ADA guidelines recommend continuing low-dose aspirin (81mg) through dental extractions. The minimal increase in bleeding risk is far outweighed by the cardiovascular risk of stopping antiplatelet therapy.