[The Dean's Speaker Series] "To Stop or Not To Stop – That is the Question" Antithrombotic Drugs and Dentistry

Jan, 2019
12:00 PM-01:00 PM

William W.M. Cheung Auditorium | Penn Dental Medicine
240 S. 40th Street, Philadelphia, PA

Time: 12:00 – 1:00 pm
Registration: In-person attendance – Free; sign-in required / Virtual attendance – Register »
CE Credits: 1.0 lecture credits

Course Description

Antithrombotic agents, including anticoagulant and antiplatelet medications, are increasingly used for a variety of cardiovascular diseases. Many oral health care professionals perceive these patients’ bleeding complications as a significant challenge. This presentation plans to address such challenges, including: an overview of the current anticoagulants and antiplatelet medications being prescribed; interpretation of relevant laboratory testing; an overview of current recommendations regarding managing patients on anti-coagulation and anti-platelet therapy and clinical management options to address the risk of bleeding during and after invasive dental procedures. Acquiring knowledge of these essentials will greatly enhance the management of patients with bleeding disorders in the dental office.

Educational Objectives

  • Describe the relative risks of bleeding complications in patients on continuous antithrombotic medications undergoing dental procedures.
  • Describe the relative risks of thromboembolic complications in patients whose continuous antithrombotic medications are interrupted for dental procedures.
  • Describe the purpose of physician consultation in dentistry
  • Gain knowledge about the current evidence-based recommendations for the purpose of managing patients taking antithrombotic medications while providing invasive dental procedures.
  • Develop a protocol to manage commonly encountered bleeding risk scenarios in dental practice.


Miriam R. Robbins, DDS, MS is the Chair of the Department of Dental Medicine at NYU Winthrop Hospital in Mineola, NY and a clinical associate professor in the Department of Oral-Maxillofacial Pathology, Radiology and Medicine at NYU College of Dentistry. She received her dental degree from SUNY at Buffalo School of Dental Medicine and her MS in Management and Health Policy from the Robert Wagner School of Public Policy at NYU. She completed her residency at Columbia Presbyterian Medical Center and an American Cancer fellowship at Memorial Sloan-Kettering Cancer Center, both in New York City. She is a Diplomat of the American Board of Special Care Dentistry and hold Fellowships in the American College of Dentists, American Academy of Oral Medicine and the American Association of Hospital Dentists. She is the immediate past president of the American Academy of Oral Medicine and a past president of the Special Care Dentistry Association. She lectures nationally and internationally as well as contributing to the dental and medical literature on the dental management of special needs and medically complex patients, managing the oral manifestation of systemic disease, HIV/AIDS, oral cancer and other oral medicine related topics.

University of Pennsylvania School of Dental Medicine is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

University of Pennsylvania School of Dental Medicine designates this activity for 1.0 continuing education credits.