Journal of Dental Specialities 2023;11(2):92–96 Content available at: https://www.ipinnovative.com/open-access-journals Journal of Dental Specialities Journal homepage: https://www.jdsits.in/ Review Article Dentistry and thromboembolic risk: Strategies for effective patient care Jyoti Sanjay Kshirsagar 1 , Deepa Vasanth 2 , Zameer Pasha 3 , Rahul Puthenkandathil 4 , Shailesh Shenoy 5 , Ruhi Rajendra Shah 6 , Preeti Prakash Kale 7, * 1 Dermamax Medical Centre, Dubai, United Arab Emirate 2 Consultant Periodontist, Bangalore, Karnataka, India 3 Durrat Al-Alammi Dental Clinic, Al-Majmaah, Riyadh, Saudi Arabia. 4 AB Shetty Memorial institute of Dental Sciences, Nitte deemed to be University, Medical Sciences Complex Deralakatte, Mangaluru, Karnataka, India 5 Yenepoya Dental College, Mangalore, Karnataka, India 6 Consultant Dentist, Baramati, Maharashtra, India 7 Dept. of Periodontolgy, Rural Dental College, Loni, Maharashtra, India ARTICLE INFO Article history: Received 10-07-20223 Accepted 16-09-2023 Available online 29-09-2023 Keywords: Thromboembolic Events International Normalized Ratio (INR) Hemostatic Measures dentistry ABSTRACT Thromboembolic events represent a significant healthcare concern, encompassing conditions such as deep vein thrombosis, pulmonary embolism, stroke, and myocardial infarction. The management of patients with a history of thromboembolic events in the dental setting requires careful consideration and collaboration between dentists and healthcare providers. This review article delves into the intricate relationship between thromboembolic events and dentistry. We explore the importance of patient assessment, emphasizing the need for a comprehensive evaluation of medical history, risk factors, and medication regimens. Special attention is given to anticoagulant therapy, and the role of International Normalized Ratio (INR) monitoring in maintaining safe levels of anticoagulation during dental procedures. We discuss the critical timing of dental interventions and the use of local hemostatic measures to minimize bleeding risk.By elucidating these key aspects, this review article aims to provide dental professionals with a comprehensive understanding of thromboembolic events in dentistry, fostering safe and effective oral healthcare for this patient population. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. For reprints contact: reprint@ipinnovative.com 1. Introduction Thromboembolic events refer to conditions where blood clots (thrombi) form within blood vessels and then break free to travel in the bloodstream (embolize) to other parts of the body. These events can have serious health consequences, including strokes, heart attacks, pulmonary embolisms, and deep vein thrombosis, among others. 1 It’s essential for healthcare professionals, including dentists, to be aware of the risk factors and management of * Corresponding author. E-mail address: preetikale20jan@gmail.com (P. P. Kale). thromboembolic events when providing care to patients. Here’s how thromboembolic events relate to dentistry: Risk Factors: Dentists should be aware of patients who have risk factors for thromboembolic events. These risk factors include: 1. A history of blood clots or thromboembolic events. 2. A family history of clotting disorders. 3. Certain medical conditions such as atrial fibrillation, deep vein thrombosis, or heart disease. 4. Medications that can increase the risk of clot formation, such as oral contraceptives or hormone https://doi.org/10.18231/j.jds.2023.017 2320-7302/© 2023 Author(s), Published by Innovative Publication. 92