KNOWLEDGE, ATTITUDE AND PRACTICES OF DENTAL STUDENTS TOWARD DENTAL MANAGEMENT OF PATIENTS ON ANTIPLATELET THERAPY

Authors

  • Santhosh Kumar MR saveetha dental college,saveetha university,chennai,india

Abstract

Objective: To evaluate the knowledge, attitude and practices of dental students toward dental management of patients on antiplatelet therapy.
Methods: A self-administered questionnaire of 17 questions was administered to 150 students, belonging to third, final year and internship trainee
of undergraduate dental program. The questionnaire was designed to collect the data regarding the knowledge of dental students about antiplatelet
drugs, their attitude and practices when treating patients on antiplatelet therapy. The data from the participants were collected, statistically analyzed,
and results were obtained.
Results: About 80.8% of students have stated that minor surgical procedures cannot be carried out safely, without stopping the antiplatelet medication.
46.7% of students have mentioned that local hemostatic measures can control bleeding in a patient on antiplatelet therapy during dental treatment.
70% of them preferred to refer the patient to physician/cardiologist while treating patients on antiplatelet medications. 78.3% were not aware of the
UK medicines information regarding surgical management of the primary care dental patient on antiplatelet medication. 70% of dental students have
thought that evidence-based guidelines will be helpful in the dental management of patients on antiplatelet therapy.
Conclusion: Educational programs or workshops related to the subject can increase the awareness of students to update their knowledge and practice
related to managing patients on antiplatelet therapy before dental treatment. The findings from this study suggest that there is a great need to educate
dental students to use evidence-based guidelines in terms of dental treatment for patients on antiplatelet therapy.
Keywords: Antiplatelet therapy, Survey, Bleeding, Aspirin, Dental extraction.

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Author Biography

Santhosh Kumar MR, saveetha dental college,saveetha university,chennai,india

oral and maxillofacial surgery

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References

Anticoagulant Antiplatelet Medications and Dental Procedures.

American Dental Association. Available from: http://www.ada.

org/2526.aspx.

Rodríguez LA, Cea-Soriano L, Martín-Merino E, Johansson S.

Discontinuation of low dose aspirin and risk of myocardial infarction:

Case-control study in UK primary care. BMJ 2011;343:d4094.

García Rodríguez LA, Cea Soriano L, Hill C, Johansson S. Increased

risk of stroke after discontinuation of acetylsalicylic acid: A UK primary

care study. Neurology 2011 22;76(8):740-6.

Brennan MT, Valerin MA, Noll JL, Napeñas JJ, Kent ML, Fox PC, et al.

Aspirin use and post-operative bleeding from dental extractions. J Dent

Res 2008;87(8):740-4.

Asian J Pharm Clin Res, Vol 9, Issue 3, 2016, 270-276

Kumar

Napeñas JJ, Oost FC, DeGroot A, Loven B, Hong CH, Brennan MT,

et al. Review of postoperative bleeding risk in dental patients on

antiplatelet therapy. Oral Surg Oral Med Oral Pathol Oral Radiol

;115(4):491-9.

Robless P, Mikhailidis DP, Stansby G. Systematic review of antiplatelet

therapy for the prevention of myocardial infarction, stroke or

vascular death in patients with peripheral vascular disease. Br J Surg

;88(6):787-800.

Sacco R, Sacco M, Carpenedo M, Mannucci PM. Oral surgery in

patients on oral anticoagulant therapy: A randomized comparison of

different intensity targets. Oral Surg Oral Med Oral Pathol Oral Radiol

Endod 2007;104(1):e18-21.

Wahl MJ. Myths of dental surgery in patients receiving anticoagulant

therapy. J Am Dent Assoc 2000;131(1):77-81.

Jiménez Y, Poveda R, Gavaldá C, Margaix M, Sarrión G. An update

on the management of anticoagulated patients programmed for

dental extractions and surgery. Med Oral Patol Oral Cir Bucal

;13(3):E176-9.

Linnebur SA, Ellis SL, Astroth JD. Educational practices regarding

anticoagulation and dental procedures in U.S. dental schools. J Dent

Educ 2007;71(2):296-303.

Guyatt GH, Akl EA, Crowther M, Gutterman DD, Schuünemann HJ;

American College of Chest Physicians Antithrombotic Therapy and

Prevention of Thrombosis Panel. Executive summary: Antithrombotic

Therapy and Prevention of Thrombosis, 9

ed: American College of

Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest

;141 2 Suppl:7S-47.

th

Douketis JD, Spyropoulos AC, Spencer FA, Mayr M, Jaffer AK,

Eckman MH, et al. Perioperative management of antithrombotic

therapy: Antithrombotic Therapy and Prevention of Thrombosis,

ed: American College of Chest Physicians Evidence-Based Clinical

Practice Guidelines. Chest 2012;141 2 Suppl: e326S-50.

th

Grines CL, Bonow RO, Casey DE Jr, Gardner TJ, Lockhart PB,

Moliterno DJ, et al. Prevention of premature discontinuation of dual

antiplatelet therapy in patients with coronary artery stents: A science

advisory from the American Heart Association, American College of

Cardiology, Society for Cardiovascular Angiography and Interventions,

American College of Surgeons, and American Dental Association, with

representation from the American College of Physicians. Circulation

;115(6):813-18.

Ringel R, Maas R. Dental procedures in patients treated with antiplatelet

or oral anticoagulation therapy – An anonymous survey. Gerodontology

Shah AH, Khalil HS, Alshahrani FA, Khan SQ, AlQthani NR,

Bukhari IA, et al. Knowledge of medical and dental practitioners

towards dental management of patients on anticoagulant and/or antiplatelet

therapy.

Saudi J Dent Res 2015;6:91-7.

van Diermen DE, van der Waal I, Hoogvliets MW, Ong FN,

Hoogstraten J. Survey response of oral and maxillofacial surgeons on

invasive procedures in patients using antithrombotic medication. Int J

Oral Maxillofac Surg 2013;42(4):502-7.

Can MM, Biteker M, Babur G, Ozveren O, Serebruany VL. Knowledge,

attitude and perception of antiplatelet therapy among dentists in Central

Eastern Turkey. World J Cardiol 2012;4(7):226-30.

Bajkin BV, Urosevic IM, Stankov KM, Petrovic BB, Bajkin IA. Dental

extractions and risk of bleeding in patients taking single and dual

antiplatelet treatment. Br J Oral Maxillofac Surg 2015;53(1):39-43.

Verma G, Tiwari AK, Chopra S. Aspirin and exodontia: A comparative

study of bleeding complications with aspirin therapy. Int J Dent Sci Res

;1:50-3.

Olmos-Carrasco O, Pastor-Ramos V, Espinilla-Blanco R, Ortiz-Zarate A,

García-Avila I, Rodríguez-Alonso E, et al. Hemorrhagic complications

of dental extractions in 181 patients undergoing double antiplatelet

therapy. J Oral Maxillofac Surg 2015;73(2):203-10.

Girotra C, Padhye M, Mandlik G, Dabir A, Gite M, Dhonnar R, et al.

Assessment of the risk of haemorrhage and its control following

minor oral surgical procedures in patients on anti-platelet therapy:

A prospective study Int J Oral Maxillofac Surg 2014;43(1):99-106.

Hanken H, Tieck F, Kluwe L, Smeets R, Heiland M, Precht C, et al.

Lack of evidence for increased postoperative bleeding risk for dental

osteotomy with continued aspirin therapy. Oral Surg Oral Med Oral

Pathol Oral Radiol 2015;119(1):17-9.

Nooh N. The effect of aspirin on bleeding after extraction of teeth.

Saudi Dent J 2009;21(2):57-61.

van Diermen DE, van der Waal I, Hoogstraten J. Management

recommendations for invasive dental treatment in patients using oral

antithrombotic medication, including novel oral anticoagulants. Oral

Surg Oral Med Oral Pathol Oral Radiol 2013;116(6):709-16.

Broekema FI, van Minnen B, Jansma J, Bos RR. Risk of bleeding

after dentoalveolar surgery in patients taking anticoagulants Br J Oral

Maxillofac Surg 2014;52(3):e15-9.

Bajkin BV, Bajkin IA, Petrovic BB. The effects of combined oral

anticoagulant-aspirin therapy in patients undergoing tooth extractions:

A prospective study. J Am Dent Assoc 2012;143(7):771-6.

Morimoto Y, Niwa H, Minematsu K. Risk factors affecting

postoperative hemorrhage after tooth extraction in patients

receiving oral antithrombotic therapy. J Oral Maxillofac Surg

;69(6):1550-6.

Brennan MT, Wynn RL, Miller CS. Aspirin and bleeding in dentistry:

An update and recommendations. Oral Surg Oral Med Oral Pathol Oral

Radiol Endod 2007;104(3):316-23.

Krishnan B, Shenoy NA, Alexander M. Exodontia and antiplatelet

therapy. J Oral Maxillofac Surg 2008;66(10):2063-6.

Partridge CG, Campbell JH, Alvarado F. The effect of platelet-altering

medications on bleeding from minor oral surgery procedures. J Oral

Maxillofac Surg 2008;66(1):93-7.

Madan GA, Madan SG, Madan G, Madan AD. Minor oral surgery

without stopping daily low-dose aspirin therapy: A study of 51 patients.

J Oral Maxillofac Surg 2005;63:1262-5.

Brennan MT, Shariff G, Kent ML, Fox PC, Lockhart PB. Relationship

between bleeding time test and postextraction bleeding in a healthy

control population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod

;94(4):439-43.

Zhao B, Wang P, Dong Y, Zhu Y, Zhao H. Should aspirin be stopped

before tooth extraction? A meta-analysis. Oral Surg Oral Med Oral

Pathol Oral Radiol 2015;119(5):522-30.

Napeñas JJ, Hong CH, Brennan MT, Furney SL, Fox PC, Lockhart PB.

The frequency of bleeding complications after invasive dental treatment

in patients receiving single and dual antiplatelet therapy. J Am Dent

Assoc 2009;140(6):690-5.

Lillis T, Ziakas A, Koskinas K, Tsirlis A, Giannoglou G. Safety of dental

extractions during uninterrupted single or dual antiplatelet treatment.

Am J Cardiol 2011;108(7):964-7.

Linnebur SA, Ellis SL, Astroth JD. Educational practices regarding

anticoagulation and dental procedures in U.S. dental schools. J Dent

Educ 2007;71(2):296-303.

Asian J Pharm Clin Res, Vol 9, Issue 3, 2016, 270-276

Published

01-05-2016

How to Cite

Kumar MR, S. “KNOWLEDGE, ATTITUDE AND PRACTICES OF DENTAL STUDENTS TOWARD DENTAL MANAGEMENT OF PATIENTS ON ANTIPLATELET THERAPY”. Asian Journal of Pharmaceutical and Clinical Research, vol. 9, no. 3, May 2016, pp. 270-6, https://mail.innovareacademics.in/journals/index.php/ajpcr/article/view/11761.

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