Document Type : Original Article
Authors
1 Qom university of medical sciences, Qom, iran
2 Associate Professor, Department of Oral, Maxillofacial Surgery, Faculty of Dentistry, Qom University of Medical Sciences, Qom, Iran
3 Student Research Committee of Faculty of Dentistry, Qom University of Medical Sciences, Qom, Iran
4 Department of Epidemiology, Faculty of Health, Qom University of Medical Sciences, Qom, Iran.
5 assistant professor of pediatric cardiology, department of pediatrics, school of medicine, Qom university of medical sciences. Qom, Iran
Abstract
Introduction: The inherent tendency of blood to clot plays a central role in the formation of clots. Anticoagulant agents should be considered essential tools in the management and treatment of patients with coagulation problems. The purpose of this study is to investigate the level of knowledge of dentists regarding anticoagulant drugs and the necessary measures for the treatment of bleeding during dental procedures.
Materials and Methods: This article reports a cross-sectional analytical study conducted at the Faculty of Dentistry among general dentists at Qom University of Medical Sciences in 1401. The Chi-square and Fisher tests were used to analyze the collected data, which were evaluated using SPSS version 26 software.
Results: Among 121 general dentists with an average age of 30.56 ± 6.89 years and an average work experience of 4.46 ± 5.80 years after graduation, 69 were male and 52 were female. A significant percentage of responses to each question on the questionnaire indicated a lack of knowledge about anticoagulant and antiplatelet drugs. There was no significant relationship between gender, age, or work experience of dentists and most questions in the questionnaire (p > 0.81).
Conclusion: The gender of dentists is not an effective factor in their level of knowledge. Only in the cases of discontinuation of clopidogrel and the postponement of dental procedures due to the use of antiplatelet drugs was there a relationship with the age of general dentists. Additionally, there is a significant relationship between knowledge of the drug prasugrel and the discontinuation of clopidogrel in relation to the work history of general dentists. This lack of connection between these factors demonstrates a need to improve the level of knowledge and awareness among general dentists.
Keywords
Main Subjects
- . 2019;113(1):111-34. DOI: 5935/abc.20190128
- Babaji P, Rishal Y. Clinical evaluation of role of dual antiplatelet therapy on bleeding after dental extraction. Contemporary clinical dentistry. 2018;9(1):41. DOI: 4103/ccd.ccd_702_17 https://www.who.int/news/item/09-07-2019-new-essential-medicines-and-diagnostics-lists-published-today [Internet].
- Sáez-Alcaide LM, Sola-Martín C, Molinero-Mourelle P, Paredes-Rodríguez V, Zarrias-Caballero C, Hernández-Vallejo G. Dental management in patients with antiplatelet therapy: A systematic review. J Clin Exp Dent. 2017;9(8):e1044-e50. doi: 4317/jced.54079
- Abdekhoda MH, Noruzi A, Ravand S. Mapping Iranian Patents From 1976 To 2011 Based On International Patent Classification(IPC). Payavard Salamat. 2012;5(5):46-56. DOI: 10.9790/3008-1102031523
- Dézsi CA, Dézsi BB, Dézsi AD. Management of dental patients receiving antiplatelet therapy or chronic oral anticoagulation: A review of the latest evidence. European Journal of General Practice. 2017;23(1):197-202. DOI: 1080/13814788.2017.1350645
- Can MM, Biteker M, Babur G, Ozveren O, Serebruany VL. Knowledge, attitude and perception of antiplatelet therapy among dentists in Central Eastern Turkey. World journal of cardiology. 2012;4(7):226. doi: 4330/wjc.v4.i7.226
- Shah AH, Khalil HS, Alshahrani FA, Khan SQ, AlQthani NR, Bukhari IA and et al. Knowledge of medical and dental practitioners towards dental management of patients on anticoagulant and/or anti-platelet therapy. The Saudi Journal for Dental Research. 2015;6(2):91-7. https://doi.org/10.1016/j.sjdr.2014.10.002
- Roguljić H, Arambašić J, Ninčević V, Kuna L, Šesto Serrano Jr CV, Soeiro AdM, Leal TCT, Godoy LC, Biselli B, Hata LA and et al. Statement on antiplatelet agents and anticoagulants in cardiology-2019. Arquivos Brasileiros de Cardiologia I, Tabll A and et al. The role of direct oral anticoagulants in the era of COVID-19: are antiviral therapy and pharmacogenetics limiting factors? Croat Med J. 2022;63)3::287-94.
- Chinnaswami R, Bagadia RK, Mohan A, Kandaswamy E, Chandrasekaran D. Dentists’ knowledge, attitude and practice in treating patients taking oral antithrombotic medications–a survey. Journal of clinical and diagnostic research: JCDR. 2017;11(1):ZC88. doi: 7860/JCDR/2017/23648.9236
- MR SK. Knowledge, attitude and practices of dental students toward dental management of patients on antiplatelet therapy. Asian Journal of Pharmaceutical and Clinical Research. 2016:270-6. DOI: https://doi.org/10.18203/2394-6040.ijcmph20220017
- Costantinides F, Rizzo R, Pascazio L, Maglione M. Managing patients taking novel oral anticoagulants (NOAs) in dentistry: a discussion paper on clinical implications. BMC Oral Health. 2016;16(1):1-9. DOI: 1186/s12903-016-0170-7
- MOSHAVERINIA M, LAVAEE F, MOHSENI M. Evaluation the knowledge of dentists and dentistry students in shiraz about dental considerations in patients using anticoagulants. Journal of Isfahan Dental School. 2017;13(1):99-107.com/p1665513.
- Ibdah RK, Rawashdeh SI, Harahsheh E, Almegdadi A, Ksassbeh AA, Alrabadi N. The knowledge and perception of antiplatelet and anticoagulant agents among dentists in northern jordan. Journal of International Society of Preventive & Community Dentistry. 2020;10(5):597. doi: 10.4103/jispcd.JISPCD_70_20
- Srivastava KC, Shrivastava D, Baig MN, Sghaireen MG, Kielbassa AM, Lynch E. Knowledge, attitude, and practice of institutional dental professionals regarding management of patients taking oral antithrombotic medications. Quintessence International. 2020;51(8). doi: 10.3290/j.qi.a44812.
- Silva Cad, Santana C, Andrade R, Fraga T, Prado Fo. Evaluation of dentistry students' knowledge on hematologic disorders. RGO-Revista Gaúcha de Odontologia. 2016;64:287-92. https://doi.org/10.1590/1981-863720160003000073145
- Haris m, ashar a, imtiaz m. Knowledge of dentists regarding management of orally anticoagulated patients undergoing dental extractions. Pakistan Oral & Dental Journal. 2016;36(4).
- Robati R, Farokhi M. Evaluation the dentists’ awareness of inherited bleeding disorders and anticoagulants in Shiraz. Iranian journal of pediatric hematology and oncology. 2013;3(4):159. PMID: 24575290 PMCID: PMC3915455
)