Authors :
Ghada Bouslama; Mouaffak Chaabani; Nour Sayda Ben Messaoud; Lamia Oualha; Souha Ben Youssef
Volume/Issue :
Volume 9 - 2024, Issue 9 - September
Google Scholar :
https://tinyurl.com/2xhfdpdx
Scribd :
https://tinyurl.com/86uk4d5r
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24SEP102
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Introduction
Invasive dental procedures, such as extractions, pose
a significant bleeding risk for patients undergoing
antithrombotic agents. Practitioners must navigate the
delicate balance between managing hemorrhagic risks and
preventing thromboembolic events in accordance with
established treatment guidelines.
Objectives
The aim of the study was to evaluate the knowledge
and attitudes of Tunisian dentists towards patients
undergoing anticoagulant and antiplatelet therapy.
Materials and Methods
A cross-sectional study was conducted using an online
survey consisting of 25 questions, which was completed by
363 participants.
Results
A total of 363 dentists were included in the study,
with an average age of 31.1 ± 8 years. Participants
demonstrated a knowledge accuracy rate of approximately
67%. The study highlighted a lack of knowledge regarding
the management of patients on direct oral anticoagulants,
though recent graduates demonstrated a higher rate of
appropriate clinical attitude.
Discussion
The study showed some gaps in the training of
Tunisian dentists regarding the management of these
patients, highlighting the need to promote the latest
recommendations, especially among older dentists.
Keywords :
Antithrombotic Agent, Direct Oral Anticoagulant, Clinical Situation, Dental Procedure
References :
- Ministere de la sante institut national de la sante, statistiques décès 2021. Available at: http://www.santetunisie.rns.tn/images/statistiques-deces2021.pdf. Published in 2021. Accessed on Accessed September 19, 2023.
- Scottish Dental Clinical Effectiveness Programme. (2020). Management of dental patients taking anticoagulants or antiplatelet drugs: 2nd edition. Scottish Dental Clinical Effectiveness Programme. https://www.sdcep.org.uk/media/ypnl2cpz/sdcep-management-of-dental-patients-taking-anticoagulants-or-antiplatelet-drugs-2nd-edition.pdf. Published in Mars 2022 Accessed September 19, 2023.
- Société Francaise de chirurgie orale (SFCO). (2015). Gestion péri-opératoire des patients traités par antithrombotiques en chirurgie orale. https://societechirorale.com/wp-content/uploads/2023/06/recommandations_festion_peri_operatoire_ 2015_argumentaire.pdf. Published in July 2015.Accessed September 20, 2023.
- American Dental Association. Oral Anticoagulant and Antiplatelet Medications and Dental Procedures [Internet]. Disponible sur: https://www.ada.org/resources/ada-library/oral-health-topics/oral-anticoagulant-and-antiplatelet-medications-and-dental-procedures. Published in September 2022. Accessed September 20, 2023
- Grines CL, Bonow RO, Casey DE, 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. 13 févr 2007;115(6):813‑8.
- Touny, Marion. Enquête sur la prise en charge des patients sous antithrombotiques en chirurgie orale en France. Diss. 2019.
- Graffam, Ben. "Active learning in medical education: strategies for beginning implementation." Medical teacher 29.1 (2007): 38-42.
- Levi M. Management of bleeding in patients treated with direct oral anticoagulants. Crit Care. 20 août 2016;20:249.
- Schulman S. Advantages and limitations of the new anticoagulants. J Intern Med. janv 2014;275(1):1‑11.
- 10.Tokarek T, Homaj M, Zabojszcz M, Dolecka-Ślusarczyk M, Szotek M, Sabatowski K, et al. Knowledge on the guideline-recommended use of antiplatelet and anticoagulant therapy during dental extractions: a contemporary survey among Polish dentists. Kardiol Pol. 25 nov 2020;78(11):1122‑8.
- Felix J, Chaban P, Ouanounou A. Dental Management of Patients Undergoing Antithrombotic Therapy. J Can Dent Assoc. 2020;
- Goodwin, Meredith A., et al. "The Hawthorne effect in direct observation research with physicians and patients." Journal of evaluation in clinical practice 23.6 (2017): 1322-1328.
Introduction
Invasive dental procedures, such as extractions, pose
a significant bleeding risk for patients undergoing
antithrombotic agents. Practitioners must navigate the
delicate balance between managing hemorrhagic risks and
preventing thromboembolic events in accordance with
established treatment guidelines.
Objectives
The aim of the study was to evaluate the knowledge
and attitudes of Tunisian dentists towards patients
undergoing anticoagulant and antiplatelet therapy.
Materials and Methods
A cross-sectional study was conducted using an online
survey consisting of 25 questions, which was completed by
363 participants.
Results
A total of 363 dentists were included in the study,
with an average age of 31.1 ± 8 years. Participants
demonstrated a knowledge accuracy rate of approximately
67%. The study highlighted a lack of knowledge regarding
the management of patients on direct oral anticoagulants,
though recent graduates demonstrated a higher rate of
appropriate clinical attitude.
Discussion
The study showed some gaps in the training of
Tunisian dentists regarding the management of these
patients, highlighting the need to promote the latest
recommendations, especially among older dentists.
Keywords :
Antithrombotic Agent, Direct Oral Anticoagulant, Clinical Situation, Dental Procedure