Knowledge and Practice of Dentists Managing Patients on Antithrombotic Medications: A Cross-Sectional Survey

Abstract

Objectives In this article, we explored the level of knowledge and practice of licensed dentists in the United Arab Emirates regarding managing patients on antithrombotic medications. Moreover, to assess the need for educational intervention in this area is one of the objectives. Materials and Methods A total of 502 dentists answered 22 close-ended questionnaires. The sample size was determined based on the registry of the Ministry of Health. Results Only 5.6 and 5.9% showed satisfactory overall awareness about aspirin and plavix, respectively, as drugs may hamper hemostasis. A substantial proportion of dentists consider aspirin (63.1%) and clopidogrel (52.2%) discontinuation before treatment. More than one-third of the participants shall not consider extracting teeth before physician approval, and one-quarter to one-third of them refer patients on such medications to oral surgeons to perform tooth extraction. Most respondents did not adequately answer the questions about the additional hemostatic measures and postoperative analgesia. A significantly high number of participants (n = 440, 87.6%) want to attend updated courses on the dental management of such patients. Conclusions The dentists demonstrate a contrasting diversity of knowledge and practice approaches to patient management on antiplatelet agents. There is an apparent demand to raise understanding of the evidence-based management of a patient on such medications. It is vital to keep formalized training sessions and provide the necessary expertise to students and dentists to prevent unwanted complications.

Awareness and Perception of Dentists in Kuwait Regarding the Dental Management of Patients on Oral Antithrombotic Medications

“…3 14 Only one-tenth of the dentists in a United Arab Emirates survey could recall any drug that may compromise hemostasis. 13 DOACs are becoming more popular because of their rapid onset of action, short half-lives, and very few medication and dietary interactions. 24 Every dental care provider therefore needs to be knowledgeable about the latest antithrombotic medications.…”

“…Previous studies show discrepancies in the knowledge of dentists regarding the management of patients on OAM. 3,[13][14][15][16][17][18][19] They also show that they are overcautious as they generally overestimate the bleeding risk during and after dental procedures. 15 The aim of the current study was to assess the knowledge and practice of dental practitioners and specialists in Kuwait regarding the perioperative management of patients on OAM.…”

“…Previous studies show discrepancies in the knowledge of dentists regarding the management of patients on OAM. 3 13 14 15 16 17 18 19 They also show that they are overcautious as they generally overestimate the bleeding risk during and after dental procedures. 15…”

Knowledge of Practicing Students and Dental Surgeons Regarding Anti- coagulation Therapy of Patients Undergoing Dental Extractions

“…A variation in dentist's knowledge, awareness and practice regarding the management of patients on oral anticoagulation therapy was found. i It was recommended that training sessions be organized to enhance the knowledge of students and dentists 9 . Haris et.al concluded a lack of knowledge among all groups dentists, a statistically insignificant difference in diagnosis, and a significant difference regarding treatment planning and postoperative management section 10 .…”