head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2017, vol. 23, issue 4
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2017234.1769
Published online: 29 November 2017

Review article

J of IMAB 2017 Oct-Dec;23(4):1769-1772
Atanaska S. Dinkova1ORCID logo Corresponding Autoremail, Dimitar T. Atanasov1ORCID logo, Ludmila G. Vladimirova-Kitova2ORCID logo,
1) Department of Oral Surgery, Faculty of Dental Medicine, Medical University - Plovdiv, Bulgaria.
2) Clinic of Cardiology, University Hospital 'St. George', Medical University - Plovdiv, Bulgaria.

Purpose: Cardiovascular diseases are leading cause of mortality and disability worldwide. Major role in the treatment and prophylaxis of these diseases and their complications have antiplatelet and anticoagulation drugs. Routine practice in the past was an interruption of antiplatelet and anticoagulant medication before dental extraction. Today most authors and dental associations recommend maintaining therapeutic levels of antithrombotic drugs in single or multiple teeth extractions due to the fact that the risk of serious thromboembolic complications outweighs the risk of bleeding. The aim of the present study is to determine the opinion and approach of the General Practitioners in Bulgaria regarding therapy with Aspirin, Clopidogrel and Acenocoumarol in patients undergoing dental extractions.
Material and Method: 282 General Practitioners were interviewed for their approach to the antithrombotic therapy with Acetylsalicylic acid (Aspirin) Clopidogrel (Plavix, Trombex) and Acenocoumarol (Sintrom) in patients undergoing dental extractions.
Results: There is no consensus and an established protocol on the cessation of Acetylsalicylic acid (Aspirin) Clopidogrel (Plavix, Trombex) and Acenocoumarol (Sintrom), and for what period of time before dental extraction.
Conclusion: Among General Practitioners in Bulgaria there is no approved protocol regarding administration of Acetylsalicylic acid (Aspirin) Clopidogrel (Plavix, Trombex) and Acenocoumarol (Sintrom) in patients undergoing teeth extraction.

Keywords: general practitioners, acetylsalicylic acid, clopidogrel, acenocoumarol, tooth extraction,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Dinkova A, Atanasov D, Vladimirova-Kitova L. Opinion survey of the general practitioners in bulgaria regarding therapy with acetylsalicylic acid, clopidogrel and acenocoumarol in patients undergoing dental extractions. J of IMAB. 2017 Oct-Dec;23(4):1769-1772. DOI: 10.5272/jimab.2017234.1769

Corresponding AutorCorrespondence to: Atanaska Spasova Dinkova, DMD, DDS; Department of Oral Surgery, Faculty of Dental Medicine, Medical University, Plovdiv; 3 “Hristo Botev” blvd, Plovdiv, Bulgaria; E-mail: dinkova_asia@yahoo.com

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Received: 26 June 2017
Published online: 29 November 2017

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