Key result
Among 500 Turkish dentists surveyed, 57.8% inaccurately identified warfarin as an antiplatelet agent and 24.6% inappropriately discontinued medications before surgery in patients with recent stents.
Why the study?
Dentists frequently face dilemmas managing patients on antiplatelet and anticoagulant agents requiring dental procedures, prompting an evaluation of Turkish dentists' awareness and attitudes toward these patients.
Cross-Sectional (n=500)
A significant proportion of dentists overestimate bleeding risks and lack familiarity with blood thinners, highlighting the need for updated educational curricula and national guidelines for perioperative management.
Survey reveals knowledge gaps and bleeding risk overestimation among Turkish dentists; leaves open need for targeted education before practice impact.
PURPOSE: In everyday practice, dentists are confronted with the dilemma of patients on antiplatelet and anticoagulant agents who require dental procedures.The present survey aimed to exhibit Turkish dentists' awareness and attitude towards patients using blood thinners prior to dental procedures and point out the significance of this issue. METHODS: An electronic survey was administered to dental practitioners. Demographics, career details, answerbacks to medical consultation and agents consisting of 20-questions investigating approaches to patients using antiplatelet and anticoagulant agents were recorded.Data were collected in the online platform and analyzed. RESULTS: A total of 500 dentists answered the survey, of which 48.2% were female and 51.8% were male. %57.8 of all respondents inaccurately marked warfarin as an antiplatelet agent. In patients who underwent coronary stent implantation,24.6% of dentists unfortunately stated that they always discontinue the actual medications before surgery. The majority of cardiology consultants interrupted the drug 5-7 days before the intervention in patients receiving antiplatelet therapy.16.6% of consultants made a decision based on international normalized ratio (INR) level of the patients using direct oral anticoagulant (DOAC). CONCLUSION: Although dental procedures do not posses a high bleeding risk and can be safely performed without interruption of blood thinners, there is an overestimation of the risk of bleeding by the dentists.It's understood that a considerable number of participants are not familiar with the blood thinners, coagulation tests and perioperative management.
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Doğanay et al. (2025) conducted a cross-sectional in Dentists' attitudes and practices regarding patients on blood thinners (n=500). Management of patients on blood thinners was evaluated on Knowledge and attitude towards patients using blood thinners. Among 500 Turkish dentists surveyed, 57.8% inaccurately identified warfarin as an antiplatelet agent and 24.6% inappropriately discontinued medications before surgery in patients with recent stents.
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