The Experts below are selected from a list of 4947 Experts worldwide ranked by ideXlab platform
Isabelle Mahe - One of the best experts on this subject based on the ideXlab platform.
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perioperative management of oral anticoagulated patients undergoing an oral implant or Periodontal Procedure a survey of practices of members of two dental scientific societies the pradico study
Clinical Oral Investigations, 2019Co-Authors: Loredana Radoi, David Hajage, Caroline Giboin, Louis Maman, Virginie Monnetcorti, Vianney Descroix, Isabelle MaheAbstract:OBJECTIVES: Studies on the perioperative management of patients on direct oral anticoagulants (DOACs) receiving oral invasive Procedures are sparse. Moreover, the recommendations of the scientific societies on DOACs are discordant, and the practices are highly variable. We conducted a survey of general and specialized dentists in France to compare their practices concerning the management of patients receiving vitamin K antagonists (VKAs) and DOACs. MATERIALS AND METHODS: Members of two dental surgical societies were invited to participate in the survey. One hundred forty-one practitioners answered an online questionnaire focusing on the periprocedural management of oral anticoagulated patients (participation rate, 17.8%). RESULTS: Practitioners at hospitals or mixed practices and specialists treated significantly more anticoagulated patients and more frequently performed Procedures with high hemorrhagic risk than practitioners with private practice and general dentists. Greater than 90% of practitioners did not modify the treatment for patients on VKAs and controlled the International Normalized Ratio (INR) preoperatively. Regarding DOACs, 62.9% of practitioners did not change the treatment, 70.8% did not prescribe any biological tests, and 13.9% prescribed an INR. Practitioners at hospitals and mixed practices and specialists had better training and knowledge about DOACs. CONCLUSIONS: This survey showed that anticoagulated patients were managed mostly by specialists in private or hospital care, notably when requiring oral Procedures at high hemorrhagic risk. CLINICAL RELEVANCE: A growing proportion of anticoagulated patients are being treated by dentists in primary care. Consequently, they need training, especially concerning DOACs. Additionally, consensus recommendations are necessary for better coordination of stakeholders and patient safety. Trial registration on ClinicalTrials.gov : NCT03150303.
Tolga F Tozum - One of the best experts on this subject based on the ideXlab platform.
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a promising Periodontal Procedure for the treatment of adjacent gingival recession defects
Journal of The Canadian Dental Association, 2003Co-Authors: Tolga F TozumAbstract:Various clinical reports on the reconstruction of gingival recession defects have been published in the past decade. Several techniques have been used to achieve root coverage, including creation of free gingival grafts, laterally positioned flaps or semilunar coronally positioned flaps, as well as guided tissue regeneration and connective tissue grafting. This article focuses on the importance of connective tissue grafting, combined with a recent approach known as the tunnel Procedure, in managing gingival recession defects with a single operation. This Procedure originated in 1985 with an envelope design and a subepithelial connective tissue graft for single gingival recession defects and is used today for coverage of multiple adjacent gingival recession defects. Histological evaluation of such connective tissue grafts demonstrates Periodontal regeneration in human subjects. Clinical trials have yielded good results, including early tissue healing because of increased blood supply, good esthetic results, excellent patient cooperation and avoidance of secondary Periodontal plastic surgery. These benefits underline the appropriateness of this technique, which improves the success rate of connective tissue grafting and increases the amount of root coverage.
Loredana Radoi - One of the best experts on this subject based on the ideXlab platform.
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perioperative management of oral anticoagulated patients undergoing an oral implant or Periodontal Procedure a survey of practices of members of two dental scientific societies the pradico study
Clinical Oral Investigations, 2019Co-Authors: Loredana Radoi, David Hajage, Caroline Giboin, Louis Maman, Virginie Monnetcorti, Vianney Descroix, Isabelle MaheAbstract:OBJECTIVES: Studies on the perioperative management of patients on direct oral anticoagulants (DOACs) receiving oral invasive Procedures are sparse. Moreover, the recommendations of the scientific societies on DOACs are discordant, and the practices are highly variable. We conducted a survey of general and specialized dentists in France to compare their practices concerning the management of patients receiving vitamin K antagonists (VKAs) and DOACs. MATERIALS AND METHODS: Members of two dental surgical societies were invited to participate in the survey. One hundred forty-one practitioners answered an online questionnaire focusing on the periprocedural management of oral anticoagulated patients (participation rate, 17.8%). RESULTS: Practitioners at hospitals or mixed practices and specialists treated significantly more anticoagulated patients and more frequently performed Procedures with high hemorrhagic risk than practitioners with private practice and general dentists. Greater than 90% of practitioners did not modify the treatment for patients on VKAs and controlled the International Normalized Ratio (INR) preoperatively. Regarding DOACs, 62.9% of practitioners did not change the treatment, 70.8% did not prescribe any biological tests, and 13.9% prescribed an INR. Practitioners at hospitals and mixed practices and specialists had better training and knowledge about DOACs. CONCLUSIONS: This survey showed that anticoagulated patients were managed mostly by specialists in private or hospital care, notably when requiring oral Procedures at high hemorrhagic risk. CLINICAL RELEVANCE: A growing proportion of anticoagulated patients are being treated by dentists in primary care. Consequently, they need training, especially concerning DOACs. Additionally, consensus recommendations are necessary for better coordination of stakeholders and patient safety. Trial registration on ClinicalTrials.gov : NCT03150303.
David Hajage - One of the best experts on this subject based on the ideXlab platform.
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perioperative management of oral anticoagulated patients undergoing an oral implant or Periodontal Procedure a survey of practices of members of two dental scientific societies the pradico study
Clinical Oral Investigations, 2019Co-Authors: Loredana Radoi, David Hajage, Caroline Giboin, Louis Maman, Virginie Monnetcorti, Vianney Descroix, Isabelle MaheAbstract:OBJECTIVES: Studies on the perioperative management of patients on direct oral anticoagulants (DOACs) receiving oral invasive Procedures are sparse. Moreover, the recommendations of the scientific societies on DOACs are discordant, and the practices are highly variable. We conducted a survey of general and specialized dentists in France to compare their practices concerning the management of patients receiving vitamin K antagonists (VKAs) and DOACs. MATERIALS AND METHODS: Members of two dental surgical societies were invited to participate in the survey. One hundred forty-one practitioners answered an online questionnaire focusing on the periprocedural management of oral anticoagulated patients (participation rate, 17.8%). RESULTS: Practitioners at hospitals or mixed practices and specialists treated significantly more anticoagulated patients and more frequently performed Procedures with high hemorrhagic risk than practitioners with private practice and general dentists. Greater than 90% of practitioners did not modify the treatment for patients on VKAs and controlled the International Normalized Ratio (INR) preoperatively. Regarding DOACs, 62.9% of practitioners did not change the treatment, 70.8% did not prescribe any biological tests, and 13.9% prescribed an INR. Practitioners at hospitals and mixed practices and specialists had better training and knowledge about DOACs. CONCLUSIONS: This survey showed that anticoagulated patients were managed mostly by specialists in private or hospital care, notably when requiring oral Procedures at high hemorrhagic risk. CLINICAL RELEVANCE: A growing proportion of anticoagulated patients are being treated by dentists in primary care. Consequently, they need training, especially concerning DOACs. Additionally, consensus recommendations are necessary for better coordination of stakeholders and patient safety. Trial registration on ClinicalTrials.gov : NCT03150303.
Vianney Descroix - One of the best experts on this subject based on the ideXlab platform.
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perioperative management of oral anticoagulated patients undergoing an oral implant or Periodontal Procedure a survey of practices of members of two dental scientific societies the pradico study
Clinical Oral Investigations, 2019Co-Authors: Loredana Radoi, David Hajage, Caroline Giboin, Louis Maman, Virginie Monnetcorti, Vianney Descroix, Isabelle MaheAbstract:OBJECTIVES: Studies on the perioperative management of patients on direct oral anticoagulants (DOACs) receiving oral invasive Procedures are sparse. Moreover, the recommendations of the scientific societies on DOACs are discordant, and the practices are highly variable. We conducted a survey of general and specialized dentists in France to compare their practices concerning the management of patients receiving vitamin K antagonists (VKAs) and DOACs. MATERIALS AND METHODS: Members of two dental surgical societies were invited to participate in the survey. One hundred forty-one practitioners answered an online questionnaire focusing on the periprocedural management of oral anticoagulated patients (participation rate, 17.8%). RESULTS: Practitioners at hospitals or mixed practices and specialists treated significantly more anticoagulated patients and more frequently performed Procedures with high hemorrhagic risk than practitioners with private practice and general dentists. Greater than 90% of practitioners did not modify the treatment for patients on VKAs and controlled the International Normalized Ratio (INR) preoperatively. Regarding DOACs, 62.9% of practitioners did not change the treatment, 70.8% did not prescribe any biological tests, and 13.9% prescribed an INR. Practitioners at hospitals and mixed practices and specialists had better training and knowledge about DOACs. CONCLUSIONS: This survey showed that anticoagulated patients were managed mostly by specialists in private or hospital care, notably when requiring oral Procedures at high hemorrhagic risk. CLINICAL RELEVANCE: A growing proportion of anticoagulated patients are being treated by dentists in primary care. Consequently, they need training, especially concerning DOACs. Additionally, consensus recommendations are necessary for better coordination of stakeholders and patient safety. Trial registration on ClinicalTrials.gov : NCT03150303.