Atraumatic surgical procedure
Local pressure with gauze packs
Use of local anesthetic with adrenaline
 Approximate soft tissues without dead spaces and suture
Avoid drugs that causes potentiation of anti-platelet or anti-coagulation actions
Implementation of any of the following as deemed necessary:
1.   Oxidized cellulose or Gelatin sponge
2.   Anti-fibrinolytic topical agents e.g.,4.8%  tranexamic acid mouthwash, 25% episilon-aminocaproic acid elixir
3.   Topical thrombin
4.   Fibrin sealants and analogues
Table 4: Local hemostatic measures to be instituted routinely for patients on antithrombotic therapy.