4. SURVEY ABOUT THE OPINIONS OF DENTAL PRACTITIONERS IN BULGARIA ON THE APPROACH TO TOOTH EXTRACTION IN PATIENTS RECEIVING ANTIPLATELET AGENTS OR ANTICOAGULANTS

Dinkova А., Daskalov H., Petrov P.*

Medical University – Plovdiv, Faculty of Dental Medicine, Department of Oral Surgery

* Medical University – Plovdiv, Department of Maxillofacial Surgery

Cardiovascular diseases are the leading cause of mortality and disability worldwide. Main place in the treatment and prophylaxis of these diseases and their complications occupies antiplatelet and anticoagulation therapy. Routine practice in the past was interruption of antiplatelet and anticoagulant medication before dental extraction. Today most authors and dental associations recommend maintaining therapeutic levels of antithrombotic drugs in single or multiple teeth extractions due to the fact that the risk of serious embolic complications outweighs the risk of bleeding.

Aim of this survey was to establish the opinion of the dental practitioners in Bulgaria on the approach according dental extractions in patients on antiplatelet or anticoagulant therapy.

Material and method: In the survey were interviewed 301 dentists regarding their approach to dental extractions in patients taking aspirin, clopidogrel (Plavix, Trombex) or acenocoumarol (Sintrom).

Results: A large number of dentists interrupt undue platelet therapy to their patients, exposing them to risk of thromboembolic complications.

Conclusion: The dental doctors with extensive work experience and oral surgeons are sufficiently informed about possible thrombotic complications.

Keywords: dentists, antiplatelet agents, anticoagulants, tooth extraction

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