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Evaluation Of Knowledge And Awareness Among Undergraduate Dental Students Regarding Anti Coagulation Therapy Of Patients Undergoing Dental Extractions
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 13 No. 2 (2025): 2025 Volume -13 - Issue 2
Abstract
This study investigates dental students about awareness regarding anticoagulation therapy of patients undergoing dental extractions. Managing patients under anticoagulation therapy is quite challenging for dental professionals, which requires maintaining balance between minimizing and preventing bleeding risks and thromboembolic events. Dentists are still confused about whether to stop anticoagulants during extractions or to practice local hemostatic measures and closely monitor patient’s international normalized ratio (INR) values. A cross-sectional survey was conducted among 200 undergraduate dental students, focusing on their level of understanding of common anticoagulant drugs, their risks and mainly management protocols during dental procedures. The results indicated moderate understanding among students regarding anticoagulation therapy, while their knowledge on specific protocols and drug interactions was limited, with significant gender and study year based variations in response to specific survey items. A total 200 students took part with female 66.5% and male 33.5%. Age of participants ranges from 19-25. In this study females have more knowledge than males and interns have more knowledge followed by IV BDS students followed by III BDS students. To identify student’s awareness of the clinical implications of anticoagulants use in patient’s undergoing dental extractions. To determine student’s familiarity with current clinical guidelines and protocols for managing patient’s on anti-coagulants who needs dental extractions.
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- Manfredini M, Poli PP, Creminelli L, Porro A,Maiorana C, Beretta M. Comparative risk of bleeding of anticoagulant therapy with vitamin K antagonists (VKAs) and with non-vitamin K antagonists in patients undergoing dental surgery. J Clin Med. 2021; 10(23): 5526.
- Tokarek T, Homaj M, Zabojszcz M, Dolecka- lusarczyk M, Szotek M, Sabatowski K, Loster B, Bartu S, Siudak Z. Knowledge on the guideline-recommended use of antiplatelet and anticoagulant therapy during dental extractions: a contemporary survey among Polish dentists. Kardiol Pol (Polish Heart Journal). 2020;78(11):1122-8.
- Nisi M, Carli E, Gennai S, Gulia F, Izzetti R.Hemostatic agents for the management of bleeding risk associated with oral anticoagulant therapy following tooth extraction: a systematic review.Applied Sciences. 2022 Oct 31;12(21):11017.88
- Wójcik S, Mocny-Pacho ska K, Bisch-Wójcik S,Balicz A, Morawiec T. Perioperative management of dental surgery patients chronically taking antithrombotic medications. Int J Environ Res Public Health.2022;19(23):16151.https://doi.org/10.3390/i jerph192316151
- Adel Alenazi. Dental management of patients on chronic oral anticoagulants: a review. J Res Med
- Dent Sci . 2020 8(1): 120-4.
References
Manfredini M, Poli PP, Creminelli L, Porro A,Maiorana C, Beretta M. Comparative risk of bleeding of anticoagulant therapy with vitamin K antagonists (VKAs) and with non-vitamin K antagonists in patients undergoing dental surgery. J Clin Med. 2021; 10(23): 5526.
Tokarek T, Homaj M, Zabojszcz M, Dolecka- lusarczyk M, Szotek M, Sabatowski K, Loster B, Bartu S, Siudak Z. Knowledge on the guideline-recommended use of antiplatelet and anticoagulant therapy during dental extractions: a contemporary survey among Polish dentists. Kardiol Pol (Polish Heart Journal). 2020;78(11):1122-8.
Nisi M, Carli E, Gennai S, Gulia F, Izzetti R.Hemostatic agents for the management of bleeding risk associated with oral anticoagulant therapy following tooth extraction: a systematic review.Applied Sciences. 2022 Oct 31;12(21):11017.88
Wójcik S, Mocny-Pacho ska K, Bisch-Wójcik S,Balicz A, Morawiec T. Perioperative management of dental surgery patients chronically taking antithrombotic medications. Int J Environ Res Public Health.2022;19(23):16151.https://doi.org/10.3390/i jerph192316151
Adel Alenazi. Dental management of patients on chronic oral anticoagulants: a review. J Res Med
Dent Sci . 2020 8(1): 120-4.