MedElevator
Войти в исследования Oral surgery, oral medicine, oral pathology and oral radiology · 2026
General dentists' approach to dental management of patients taking anticoagulants: a national survey-based assessment: pre- and post-procedure practice.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Elad Sharon, Boy Rebekah, Leo Michael C, Connolly Greg C, Cacciato Rita, Xiao Jin, Gillespie Suzanne, Nyongesa Denis B, Gilbert Gregg H, Meyerowitz Cyril
Аннотация
AIM: To determine the pre-operative and post-operative practices of general dentists (GDs) in the community for patients taking vitamin K antagonists (VKA) and direct oral anti-coagulants (DOACs).
METHODS: An online questionnaire was administered to GD members of the National Dental Practice-Based Research Network. GDs were queried about the interaction with the medical professional prior to dental treatment, use of laboratory tests to assess bleeding risk, measures to control bleeding, and comfort level with delivering dental care.
RESULTS: A total of 47.6% and 41.2% of GDs "always" consult with the patient's physician prior to an extraction in a patient on VKA or DOACs, respectively. 27.1% and 8.7% of GDs use laboratory tests to assess risk for bleeding prior to a dental extraction in patients on VKA and DOAC, respectively. For VKA patients, GDs prefer INR testing (68.4%), and for DOAC patients, most GDs are "unsure" what blood test to use. The most-used hemostatic agents were cellulose (65.1%), collagen (60.6%) and epinephrine infiltration (60.6%).
CONCLUSIONS: GDs are uncertain about the best approach for patients taking DOACs. INR is not routinely used by most GDs to assess the bleeding risk in patients taking VKA. The most commonly used hemostatic agents are cellulose-based, collagen-based and vasoconstrictors.
METHODS: An online questionnaire was administered to GD members of the National Dental Practice-Based Research Network. GDs were queried about the interaction with the medical professional prior to dental treatment, use of laboratory tests to assess bleeding risk, measures to control bleeding, and comfort level with delivering dental care.
RESULTS: A total of 47.6% and 41.2% of GDs "always" consult with the patient's physician prior to an extraction in a patient on VKA or DOACs, respectively. 27.1% and 8.7% of GDs use laboratory tests to assess risk for bleeding prior to a dental extraction in patients on VKA and DOAC, respectively. For VKA patients, GDs prefer INR testing (68.4%), and for DOAC patients, most GDs are "unsure" what blood test to use. The most-used hemostatic agents were cellulose (65.1%), collagen (60.6%) and epinephrine infiltration (60.6%).
CONCLUSIONS: GDs are uncertain about the best approach for patients taking DOACs. INR is not routinely used by most GDs to assess the bleeding risk in patients taking VKA. The most commonly used hemostatic agents are cellulose-based, collagen-based and vasoconstrictors.