KDA Today

KDA Today

For Immediate Release

Date: Jan 4th, 2011
Contact: Dr. Robert Henry
Phone: 800-292-1855
Email: info@kyda.org

Dental Management of Patients Taking Antiplatelet Medications

A discussion of the scientific rationale for managing patients on antiplatelet agents, with management guidelines for dental clinicians.




Antiplatelet medications are drugs that decrease platelet aggregation and inhibit thrombus (clot) formation.1 They are widely used in primary and secondary prevention of thrombotic cerebrovascular or cardiovascular disease. The most common antiplatelet medications are the cyclooygenase inhibitors (aspirin) and the adenosine disphosphate (ADP) receptor inhibitors clopidogrel (Plavix) and ticlopidine (Ticlid). The dental management of patients taking these drugs is reviewed here.


Key words or phrases: Aspirin, Clopidogrel, dental management, antiplatelet, antithrombotic agent.


Antiplatelet medications are drugs that decrease platelet aggregation and inhibit thrombus (clot) formation.1 They are widely used in primary and secondary prevention of thrombotic cerebrovascular or cardiovascular disease. The most common antiplatelet medications are the cyclooygenase inhibitors (aspirin) and the adenosine disphosphate (ADP) receptor inhibitors clopidogrel (Plavix) and ticlopidine (Ticlid). With millions of patients now taking some form of antithrombotic agent, the potential risk for bleeding to occur during dental treatment has increased dramatically. This article discusses the scientific rationale for managing patients on antiplatelet agents and provides dental clinicians with management guidelines.



Aspirin, also known as acetylsalicylic acid, is a salicylate drug and is one of the most commonly used drugs in the world today. In 2005, in the United States, almost one-fifth (19.3 percent) of adults (about 43 million) reported taking aspirin every day or every other day. More than half (53.9 percent) of those who were ever told by a doctor that they have indicators of heart disease reported taking aspirin every day or every other day. Aspirin use also increases with age. Almost half (48.5 percent) of those age 65 and over reported taking aspirin every day or every other day, as compared with about one-fourth (27.0 percent) of those age 45 to 64.2


Aspirin is often used as an analgesic to relieve minor aches and pains, as an antipyretic to reduce fever, as an anti-inflammatory medication, and as an antiplatelet agent used in long-term, low doses to prevent heart attacks, strokes, and blood clot formation in people at high risk for developing blood-clots.3 It has also been shown that low doses of aspirin may be given immediately after a heart attack to reduce the risk of another heart attack or of the death of cardiac tissue.4, 5


Aspirin works by suppressing the production of prostaglandins and thromboxanes.6  Prostoglandins are local hormones produced in the body and have diverse effects in the body, including the transmission of pain information to the brain, modulation of the hypothalamic thermostat, and inflammation. Thromboxanes are responsible for the aggregation of platelets that form blood clots. Heart attacks are primarily caused by blood clots, and low doses of aspirin are seen as an effective medical intervention for acute myocardial infarction. The major side-effect of aspirin use is that excessive bleeding may result because of the ability of blood to clot is reduced. 


Aspirin also irreversibly inhibits cyclooxygenase (COX)-1, and modifies the enzymatic activity of COX-2. These two enzymes (COX-1 and COX-2) contribute to the balance between vasoconstriction-vasodilation and platelet aggregation, and are altered to varying degrees by aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), smoking, and during disease states associated with high platelet turnover (i.e., immune thrombocytopenia, peripheral blood stem cell transplantation).7          


COX-1 is highly sensitive to low doses of aspirin (40-80 mg daily).8 Complete inactivation of platelet COX-1 as well as maximum inhibition of collagen-induced platelet aggregation is achieved at 160 mg of aspirin taken daily.9 The antiplatelet action of aspirin is effective up to 320 mg daily, which is much lower than dosages required for anti-inflammatory and analgesic functions needed for the COX-2 pathways.10 Doses of aspirin higher than 320 mg daily may be less effective as an antithrombotic because of inhibition of prostacyclin production.11


For some people, aspirin does not have as strong an effect on platelets as for others, an effect known as aspirin resistance or insensitivity. One study has suggested that women are more likely to be resistant than men.12 Another study of 2,930 patients found 28 percent to be resistant.13 The appearance of aspirin resistance can also occur as a result of nonadherence to daily dosing and the presence of comorbid conditions.14


Contraindications and adverse effects

Aspirin should not be taken by people who are allergic to ibuprofen or naproxen, or to have salicylate intolerance or to a more generalized drug intolerance to NSAIDs, and caution should be exercixed in those with asthma or NSAID-precipitated bronchospasm.15,16,17 Due to its effect on the stomach lining, manufactuers recommend that people with peptic ulcers, mild diabetes, or gastritis seek medical advice before using aspirin.18 There is an increased risk of stomach bleeding, even in the absence of these conditions, when aspirin is taken with alcohol or warfarin.


Patients with hemophilia or other bleeding tendencies should not take aspirin or other salicylates.19 Aspirin is known to cause hemolytic anemia in people who have the genetic disease glucose 6-phosphate dehydrogenase deficiency (G6PD), particularly in large doses and depending on the severity of the disease.20 People with kidney disease, hyperuricemia, or gout should not take aspirin because aspirin inhibits the kidneys ability to excrete uric acid and thus may exacerbate these conditions. Aspirin should not be given to children or adolescents to control cold or influenza symptoms as this has been linked with Reyes syndrome.21


Adverse effects include gastrointestinal, central effects, Reyes syndrome, and other effects and are summarized in Table 1 on page 16.


Dental bleeding from patients on aspirin

The fear of uncontrolled bleeding has caused dental practitioners to tell their patients to stop aspirin intake for seven to 10 days before any dental surgical procedure. However, in a recent review of the literature, Brennen et al. present evidence suggesting low-dose aspirin should be continued during dental surgical procedures.28 


Three recent clinical trials were reviewed that demonstrated limited impact of aspirin on post-extraction bleeding. In one study, 36 patients were randomized to 325 mg of aspirin or placebo for two days before and two days after a single tooth extraction. No association between aspirin use and post-op bleeding problems was identified.29 In another study, 39 patients were randomized either to 100 mg of aspirin per day or to no aspirin, before single or multiple dental extractions(s). One group resumed taking aspirin the day after surgery.  Regardless of taking aspirin or not, there were no episodes of excessive intraoperative or postoperative bleeding in either group.30 Similar results were found in a cohort of 51 patients on 75 to 100 mg of aspirin per day before a wide range of invasive dental procedures including single-tooth and multiple extractions. In this last study, only a single patient experienced increased intraoperative bleeding that was adequately controlled with local measures.31 The conclusion reached from these studies was that low-dose aspirin therapy should not be stopped before dental surgical procedures. Local hemostatic measures (sutures, packing, or packing with 10 percent tranexamic acid) was sufficient to control bleeding in the few cases experiencing excessive bleeding.


Is it a problem to just discontinue aspirin to control potential bleeding?

In several studies, patients who discontinue aspirin use prior to surgery are likely to develop adverse events compared to those who did not stop aspirin therapy.32,33,34 In one study of 1,358 patients with acute coronary syndrome (ACS), Collet et al. followed prospectively 930 nonusers, 355 prior users and 73 recent withdrawers of oral antiplatelet agents. The recent withdrawers had higher 30-day rates of death or myocardial infarction -- 21.9 percent versus 12.4 percent and bleedings (13.7 percent versus 5.9 percent, P=0.03) than prior users.32 Five percent of the patients admitted with ACS had withdrawn aspirin (oral antiplatelet) within three weeks before admission. It was concluded that prior users of oral antiplatlet agents and patients with recent interruption of their antiplatelet medication displayed worse clinical outcomes than nonusers.32


In a study by Ferrari et al., 1,236 patients hospitalized for ACS were evaluated for the role of aspirin withdrawal.33 A total of 51 (4.1 percent) of these patients discontinued aspirin within one month of the ACS. Thirteen of these patients who discontinued daily aspirin use did so before a dental procedure. The mean delay between aspirin withdrawal and the acute coronary event was 10+ 1.9 days (range 4-17 days).33 


Finally, Fischer et al. reported that discontinuation of aspirin by daily aspirin users may increase the risk of myocardial infarction (MI).34 Of the 8,688 patients who experienced first-time acute MI, the risk of acute MI was 1.52 times greater for subjects who stopped taking NSAIDs including aspirin from one to 29 days compared with nonusers.34 This study concluded that the risk of acute MI is increased during several weeks after cessation of NSAID therapy. Overall, the data support the conclusion that among ACS patients, discontinuing daily aspirin use, even for 7-10 days, increases the risk for adverse clinical cardiovascular outcomes during the first month after drug withdrawal.


Can laboratory tests predict if bleeding will occur?

Brennan et al. also reviewed studies that investigated the predictive value of laboratory tests to determine if excessive bleeding may occur from patients taking aspirin intra-operatively.28 In the past, the cutaneous bleeding time test has been commonly used as a reasonable measure of bleeding risk for patients who take aspirin.35 While this test can often reveal increased bleeding time results in patients who take aspirin, it does not predict increased blood loss from dental or even orthopedic surgery.36 Other tests, such as platelet aggregation tests, have not proven predictive for bleeding during or after invasive dental procedures.37


The guiding factors for dental clinicians performing dental surgery in patients taking antiplatelet agents does not include the cutaneous bleeding time as a screening test to determine the bleeding risk from aspirin.38 Rather, a thorough medical history that includes questions regarding excessive bleeding after trauma and/or previous surgeries is more important. Finally, knowledge of the number of platelets and concurrent medications that can influence bleeding are also very important to know in determining the risk for bleeding in patients taking aspirin.39


Clopidogrel (Plavix) and ticlopidine (Ticlid)

Clopidogrel and ticlopidine are antiplatelet drugs in the thienopyridiene family that are adenosine diposphate (ADP) receptor inhibiotors. The action of these two drugs is to inhibit one of the types of ADP receptors (P2Y12) found on the platelet membrane, which is important in platelet aggregation and the cross-linking of platelets by fibrin.40 Platelet inhibition can be demonstrated two hours after a single dose of oral clopidogrel, but the onset of action is slow, so that a loading-dose of 300 to 600 mg is usually administered.41

Clopidogrel is indicated for prevention of vascular ischemic events in patients with symptomatic atherosclerosis, acute coronary syndrome (ACS) without ST-segment elevation (NSTEMI), along with aspirin, and ST elevation MI (STEMI). It is also used, along with aspirin, for the prevention of thrombosis after placement of intracoronary stent. Consensus-based therapeutic guidelines recommend the use of clopidogrel, instead of aspirin, in patients requiring antiplatelet therapy but with a history of gastric ulceration, as inhibition of the synthesis of prostagladins by aspirin can exacerbate this condition.41


Ticlopidine (trade name Ticlid), an older drug than clopidogel, has largely been replaced in medical practice by clopidogrel/Plavix because of its increased risk of thrombotic thrombocytopenic purpura (TTP) and neutropenia. Because ticlopidine has the same pharmacologic profile as clopidogrel, but higher adverse effects profile, ticlopidine is rarely used in the United States today.42


In contrast, clopidogrel is marketed as clopidogrel bisulfate by Bristol-Meyers Squibb, Inc., under patent as Plavix, until November 2011. Plavix comes in 75 mg oral tablets, and is one of the top selling drugs in the world since 2007, with sales in the U.S. of $5.9 billion in 2005.43,44 Generic clopidogrel is also produced by several pharmaceutical companies in India at lower prices, as well as counterfeit Plavix, also in circulation until Plavixs patent runs out in November 2011.


Adverse effects associated with clopidogrel

The most serious adverse drug reactions associated with clopidogrel therapy include:45


Severe neutropenia (incidence: 1/2,000);

thrombotic thrombocytopenic purpura (TTP) (Incidence: 4/1,000,000);

hemorrhage (the incidence may be increased by co-using with aspirin);

gastrointestinal hemorrhage (incidence: 2.0 percent);

cerebral hemorrhage (incidence: 0.1 to 0.4 percent);

use of non-steroidal anti-inflammatory drugs is discouraged due to increased risk of digestive tract hemorrhage.


Dual antiplatlet therapy: Using aspirin with clopidogrel

The combination of clopidogrel plus asprin is mainly used in patients with percutaneous coronary stent intervention (coronary stents), in order to prevent thrombotic complications following placement.46 While the combination of aspirin and clopidogrel has been associated with bleeding risk with coronary artery bypass graft (CABG) surgery, there have been no studies to examine whether an increased risk of bleeding exists in the dental setting following extractions compared to more invasive surgical procedures (such as a CABG).47 Of significance however, is that a recent Science Advisory from the American Heart Association, American College of Cardiology, American College of Surgeons and the American Dental Association recommended continuing aspirin and clopidogrel therapy for minor dental surgical procedures in patients who have coronary artery stents or delaying treatment until the prescribed antiplatelet regimen is completed and warned of the significant thrombotic risks if therapy was discontinued.48


Dental recommendations for patients taking antiplatelets

Bleeding complications from patients taking antiplatelets, while inconvenient, do not carry the same risk as thromboembolic (throwing a clot) complications.  Patients are more at risk of permanent disability or even death if they stop antiplatelet medication prior to a surgical procedure, than if they continued these drugs.49 Published reviews of the literature advise that antiplatelet monotherapy (either aspirin or clopidogrel by themselves), and combination therapy (both aspirin and clopidogrel) should not routinely be stopped prior to dental surgical procedures.48


Patients with the following medical problems taking antiplatelet medications should probably not be treated in the general dentists office without medical advice or should be referred to a dental hospital or oral surgery practice for difficult, invasive, or extensive surgical care:50,51,52


liver impairment and/or alcoholism;

renal failure;

thrombocytopenia, hemophilia, or other disorder of hemostatis;

currently receiving a course of cytotoxic medication.


Minor surgical procedures can be safely carried out without altering the antiplatelet medication dose. The following would be classified as minor procedures: simple extraction of three teeth, gingival surgery, crown and bridge procedures, dental scaling and the surgical removal teeth.50 When more than three teeth need to be extracted, one recommendation would be to remove two to three teeth at a time, by quadrants, or singly, but having the patient return for multiple visits.49 Scaling and gingival surgery should initially be confined to a limited area to assess if bleeding is problematic.


Managing bleeding for patients on antiplatelets

Prevention of bleeding is key in managing patients on antiplatelet medications.  Planned surgery should ideally be at the beginning of the day, which allows more time to deal with immediate re-bleeding problems. Similarly, planning surgery for early in the week allows for treating delayed re-bleeding episodes occurring after 24-48 hours during the workweek.49


A local anesthetic containing a vasoconstrictor should be administered by infiltration whenever practical. Regional nerve blocks should be avoided where possible but when necessary, the local anesthetic should be administered cautiously using an aspirating syringe.  


Every effort should be made to make the procedure as atraumatic as possible and any bleeding should be managed using local measures. All granulation tissue and infection (abcesses/granulomas) must be removed from the socket or area. Sockets should be gently packed with an absorbable hemostatic dressing, in the absence of active infection. Options include: Gelfoam (resorbable gelatin sponge), surgical (oxidized cellulose) or Collacote/Collaplug (collagen sponge) for packing. If primary closure is possible, this should be done. Resorbable sutures are preferable as they attract less plaque.39 If non-resorbable sutures are used, they should be removed in four to seven days. Following closure, pressure should be applied to the sockets by using a gauze pad that the patient should bite on for 15 to 30 minutes. For persistent intraoperative areas which are bleeding, or if patients return with oozing from the site, re-packing the area or socket with additional sutures should be considered. In addition, a topical cyanoacrylate glue (Histocryl) can be placed over the approximated wound edges, as an effective, easily applicable local hemostatic for use in such patients.53 


Patients should be given clear instructions regarding the management of the surgical site including to not smoke for 24 to 48 hours if possible, to avoid rinsing for 24 hours, to not suck hard or disturb the socket with the tongue, to avoid hot liquids and hard foods for a day, to avoid chewing on the affected side, and what to do if bleeding persists.



In the dental setting, continuing low-dose antiplatelet therapy in monotherapy (aspirin or clopidogrel) or dual therapy (in combination) is currently recommended for patients receiving dental care, including surgical procedures. Unless exceptions mentioned in this paper exist, bleeding following extractions can typically be managed by local hemostatic measures including pressure, packing, sutures, and cyanoacylate (Histocryl) glue (in reserve). As the population ages, the number of patients on antiplatelets will continue to increase. As long as aspirin and antiplatelet medications are effective in preventing myocardial infarction, ischemic stroke, and vascular death due to thrombotic events, the dental mangament of these patients will continue to be important for dentists in their day-to-day clinical practice. 


This article was originally printed in the Texas Dental Journal: Tex Dent J (2009); 126(7): 608-616. Reprinted/used with permission from the Texas Dental Association.


Robert G. Henry, D.M.D., M.P.H., is chief, Dental Service, with the Department of Veterans Affairs Medical Center, in Lexington, KY, and clinical associate professor at the University of Kentucky College of Dentistry.



A full list of references are available upon request from the KDA office.

Press Releases

Click on any title below to read the press release. The release will open up in a new browser window with no menus or images, so that you may print or copy the press release without extraneous graphics.

Apr 12th, 2024Hit A Trifecta with a KDA Membership
Apr 12th, 2024You Are What You Code
Apr 12th, 2024There’s a Lot Going On!
Feb 15th, 2024One Shining Moment
Feb 15th, 2024Will You Take the Leadership Challenge?
Feb 15th, 2024Together, We Thrive
Oct 31st, 2023WHO DEY Think Gonna Beat Dem Dentists?
Oct 31st, 2023Your Association is Changing, Ready or Not!
Oct 31st, 2023Together, We Thrive
Aug 18th, 2023You Have the Ability to Alter the Course of the Storm
Aug 18th, 2023Dental Access to Care: Is There a Correct Answer?
Aug 18th, 2023Together, We Can Move Forward
Aug 18th, 2023What Can Your Dental Office Do to Improve a Child’s Life in a Meaningful Way?
Jun 19th, 2023Back Home in Louisville
Jun 19th, 2023Our Mission to Help KDA Member Dentists Succeed and Serve Still Prevails
Jun 19th, 2023KDA is Here to Serve You
Jun 19th, 2023Be a Part of the 2023 Kentucky Meeting as Dentistry Just Keeps on Truckin’, Baby…
Apr 18th, 2023Take a New Dentist to Lunch! Invite Them to a Component Meeting!
Apr 18th, 2023The Dollars and Sense of Dental Education
Apr 18th, 2023What is Next.
Apr 18th, 2023Louisville ASDA Chapter Named Top Chapter Nationwide
Feb 17th, 2023There is Strength in Numbers, and We Need to Increase Our Numbers
Feb 17th, 2023Say Hello to Your New Little Friend...the Amazon App of the ADA!
Feb 17th, 2023Taxing Cosmetic Surgery Services in the Dental Office
Feb 17th, 2023Who Can You Hire for Less Than $3.90 a Day?
Dec 6th, 2022I Predict Obstacles Ahead, if We are not Proactive
Dec 6th, 2022KDA Legislative Initiatives for 2023 Session
Dec 6th, 2022As a Member of Organized Dentistry, You Can Be an Influencer for Good
Dec 6th, 2022Swan Song
Oct 25th, 2022Let Us Use Our Vast Arsenal of Tools, Wisely
Oct 25th, 2022Strategic Forecasting May Foster a Successful Dental Practice
Oct 25th, 20222022 Remarks to the KDA House of Delegates
Oct 25th, 2022Dental Specialties: Opportunities Abound for Dental Graduates
Aug 12th, 2022KDA Needs Your Involvement!
Aug 12th, 2022Only Time Will Tell Whether There is Real Harm Caused by Electronic Cigarette Use
Aug 12th, 2022Reform School
Aug 12th, 2022The New (Unwelcome) Normal in Dental Office Staffing
Jun 17th, 2022Do your Goals Align with your Real ID?
Jun 17th, 2022A Good Start
Jun 17th, 2022Greetings, Fellow KDA Members!
Jun 17th, 2022Be a Part of the 2022 Kentucky Meeting: Dentistry & All that Jazz!
Apr 22nd, 2022Let’s Finish the Race, Together
Apr 22nd, 2022Calling All Legislators!
Apr 22nd, 2022Bridging the Divide Between Medical and Dental Care
Apr 22nd, 2022Kentucky Dental and Oral Health in the COVID-19 Era
Apr 22nd, 2022Greetings, Fellow KDA Members!
Apr 22nd, 2022Reflections: My 55 Years in Dentistry
Apr 22nd, 2022How a Bill Really Becomes Law
Apr 22nd, 2022What is HB-370? Patient Transparency in Dental Benefits
Dec 21st, 2021Kentucky Dental Association Donates To Team Western Kentucky Tornado Relief Fund
Dec 21st, 2021Greetings, Fellow KDA Members!
Dec 21st, 2021Major Life Transitions Can Bring Sadness, Distress and Joy
Dec 21st, 2021Model Behavior!
Dec 21st, 2021What Does an ADA Delegate Do? A Report from Las Vegas
Dec 21st, 2021Begin Purposeful Planning Early in Your Career to Ensure Those Retirement Years Are Truly Golden
Dec 21st, 2021What Buyers Want: 5 Ways to Prepare for a Practice Sale
Oct 21st, 2021Cultivating Positive Mental Health in a New Era of Stress and Uncertainty
Oct 21st, 2021Ready or Not, It’s Here!
Oct 21st, 2021KDA 2021 HOD Remarks
Oct 21st, 2021You Can Make a Difference and Be a Friend of our Foundation
Sep 13th, 2021Build a Relationship with Your Legislator
Sep 13th, 2021Make a Conscious Effort to Search for Common Ground
Sep 13th, 2021Binge Your Profession
Sep 13th, 2021Board of Dentistry Clears Confusion Regarding CE & other Requirements
Jun 21st, 2021Catch Up on Old Times and Make Some New Friends
Jun 21st, 2021Take Time to Meet and Support Your KDA Leaders
Apr 27th, 2021The Relevance and Importance of Organized Dentistry
Apr 27th, 2021Good Times are Just Around the Corner!
Apr 27th, 2021The End of Days
Apr 27th, 20212021 KDA Advocacy Days: Virtual Takeaways & the importance of forming relationships with your legislators
Oct 20th, 2020Together, We Can Do Great Things!
Oct 20th, 2020We Need a Plan
Oct 20th, 2020Act Two
Oct 20th, 2020Kentucky EPCS Mandatory Electronic Prescribing of Controlled Substances is Coming. Are You Ready?
Oct 20th, 2020KASPER and Controlled Substance FAQ
Aug 21st, 2020Greetings from the Green River Dental Society - Don't Blink!
Aug 21st, 2020Faith
Aug 21st, 2020The Relevance and Value of Tripartite Membership: Essential in a COVID World
Aug 21st, 2020We will Return to the Pandemic after this Important Message…
Feb 21st, 2020Welcome Home!
Feb 21st, 2020Reporting Child Abuse: An Emotional and Ethical Dilemma
Feb 21st, 2020We’re Calling a Family Meeting
Feb 21st, 2020Child Abuse and Neglect: Kentucky is Number One
Feb 21st, 2020Kentucky Dental Association Co-Hosts 2020 Big Sky Ski & Learn Seminar
Jan 10th, 2020Why French Lick?
Jan 3rd, 2020Thankful is the Word
Jan 3rd, 2020Remarks to the 2019 KDA House of Delegates - Part Two
Jan 3rd, 2020Safety Begins with Teamwork and Teamwork Can Bring Much More to Our Practices
Jan 3rd, 2020ADA Practice Transitions Now Offers More Options for Kentucky Dentists
Oct 28th, 2019We Go Farther, Together
Oct 28th, 2019Remarks to the 2019 KDA House of Delegates: Part One
Oct 28th, 2019Why do Children Tell Tall Tales?
Aug 20th, 2019Members, where are You?
Aug 20th, 2019For your Patients’ Sake, learn about Vaping and be Ready with Answers
Aug 20th, 2019What Have You Done for Me, Lately?
Aug 20th, 2019Kentucky Dental Association affiliates with The Dentists Supply Company to offer members a new way to shop and save on dental supplies
Jun 20th, 2019First Roots, Now Roads
Jun 20th, 2019The Many Considerations for Treating Patients with Measles
Jun 20th, 2019BACK TO THE F_T_RE : Do Not Let the Only Thing Missing Be U!
Jun 20th, 2019Join Us for a Blast from the Past!
Apr 11th, 2019KDA Annual Session
Apr 11th, 2019Take Back the Tap
Apr 11th, 2019Reflecting on Reflections
Feb 18th, 2019Roots
Feb 18th, 2019…Coming to a Profession Near and Dear to You
Feb 18th, 2019Back to the Future
Feb 18th, 2019Opioids: A Review of Kentucky and National Legislation
Dec 17th, 2018A Rising Tide Floats All Ships
Dec 17th, 2018For Good or Bad, We Each Contribute to and Influence the Future of our Profession
Dec 17th, 2018Membership Matters: Become Involved in Organized Dentistry and Lead the Way for Your Non-Member Colleagues to See the Light…
Dec 17th, 20182018 ADA Meeting Highlights
Dec 17th, 2018Report from a Long-term Delegate
Nov 15th, 2018This Offer Is Not Available in Stores!
Oct 22nd, 2018Step Up and Do Your Part to Save the Future of Organized Dentistry in Kentucky
Oct 22nd, 2018Ladies, Evaluate your Lifestyle!
Oct 22nd, 2018I told her I was leaving the house to get milk…
Oct 22nd, 2018Cybersecurity 101
Aug 13th, 2018Thank You for Letting Me Serve
Aug 13th, 2018Well, That Happened
Aug 13th, 2018Find YOUR Magic
Jul 13th, 2018Kentucky Dental Association Opinion: In Response to the Recent Discontinuation of Dental Benefits
Jun 22nd, 2018Mentoring a Young Dentist Can Change the End of our Story
Jun 22nd, 2018Sage Advice for Making Your Dreams Come True
Jun 22nd, 2018It wouldn’t be a party (or an association) without you
Apr 30th, 2018What will your Legacy Be?
Apr 30th, 2018It is a New World
Apr 30th, 2018How NOT to Get Stuck with the Bill (and why)
Apr 30th, 2018Setting the Stage for Meaningful Collaboration with our Legislators
Feb 23rd, 2018Let’s Talk about Teeth.
Feb 23rd, 2018The Power of Positive Words
Feb 23rd, 2018Be There or Beware!
Feb 23rd, 2018What the Heck is KDPAC?
Feb 23rd, 2018Kentucky Dental Foundation Reinforces Its Support for SmileKentucky! Program
Feb 23rd, 2018Kentucky Dental Foundation Reinforces Its Support for SmileKentucky! Program
Feb 23rd, 2018We All Depend On Each Other to Win
Feb 23rd, 2018It’s a Good Time to assess our Actions and Attitudes
Feb 23rd, 20186 Reasons NOT to Renew Your KDA Membership
Feb 23rd, 2018Dental Auxiliaries in Kentucky
Jan 16th, 2018Big savings on chloroprene gloves, masks, disposable products through March 31
Oct 16th, 2017We have a Place for you at the KDA!
Oct 16th, 2017August Eclipse
Oct 16th, 2017On the Road (Again)
Oct 16th, 2017The Opioid Epidemic in Kentucky
Oct 16th, 2017Prepare for New Patients: 3 Ways to Get the Most from the ADAs New Find-a-Dentist Campaign
Oct 13th, 201710 Ways the ADA Made a Difference in 2017
Aug 18th, 2017Our Associations Future depends on the Engagement of Every Member
Aug 18th, 2017What a Long, Strange Trip Its Been!
Aug 18th, 2017Will the Future of Health Care Be More Closely Related to the Fertility Rate than the Actions of Congress?
Aug 18th, 2017New Regulations on Amalgam Waste Removal
Aug 18th, 2017Did You Know You Are Already Practicing Teledentistry?
Aug 11th, 2017Check Out our FREE Friday 2-fer Special!!!
Jun 26th, 2017An Amazing Year at the KDA!
Jun 26th, 2017We Need a New Sheriff in Town
Jun 26th, 2017The Road to French Lick
Jun 1st, 2017KDA Board Selects Bowman Insurance Agency to Service Association Health Insurance Plan
Jun 1st, 2017Are you interested in serving as a KDA Delegate or Alternate Delegate?
Apr 24th, 2017A Memorable Legislative Day
Apr 24th, 2017The Daunting Task of Changing Someone Elses Bad Habits
Apr 24th, 2017And The Winner Is
Apr 24th, 2017Reflections on our 2017 KDA Legislative Day
Apr 3rd, 2017Take advantage of great Q2 price reductions!
Feb 16th, 2017Still Much to Do and Many Changes on the Horizon
Feb 16th, 2017Celebrate the Best in Everyone!
Feb 16th, 2017A Look Ahead
Feb 16th, 2017KDA Editor Wins Prestigious William J Gies Award Editorial Award
Feb 16th, 2017Trends in Dentistrythe More Things Change, the More they Stay the Same
Feb 2nd, 2017Association Glove Program: 2017 First Quarter Specials
Dec 20th, 2016Membership is the Key to Our Future and the Responsibility of All: Our Own Members are Our Best Recruitment Tool
Dec 20th, 2016I Used To Be a Libra
Dec 20th, 2016Political Slogans and Other Words to Live By
Dec 20th, 2016Whats in Your Water?!
Oct 24th, 2016Happy Trails from the Mountains of Eastern Kentucky
Oct 24th, 2016Our KDA Foundation is Small, but We CAN Make a Difference
Oct 24th, 2016You Cant Always Get What You Want
Oct 24th, 2016Kentucky Dental Foundation Board Members Work to Establish Goals and Priorities to Ensure a Bright Future
Oct 10th, 2016October is Breast Cancer Awareness Month: Simple Steps Women Can Take to Reduce the Odds of Developing Breast Cancer
Sep 12th, 2016Does Frankfort Need a Better Understanding of our Medicaid Population?
Sep 12th, 2016Lets Move!
Sep 12th, 2016Bonus Points May Not Be Enough
Sep 12th, 2016Understanding the Aging Phenomenon/The Aging Tsunami: Demographic Imperative
Sep 12th, 2016Aging and Frailty Basics
Sep 12th, 2016Polypharmacy: A Geriatric Syndrome with Serious Implications for Oral Health
Jun 14th, 2016Half Way through 2016 and Still a year to Go...
Jun 14th, 2016What Can I Tell You?
Jun 14th, 2016Pigs in Space
Jun 14th, 2016Women Rising: The Unseen Barriers
Apr 15th, 2016Dentistry is Our Life's Work - Be passionate!
Apr 15th, 2016A Grateful Heart
Apr 15th, 2016Love Never Fails
Apr 15th, 2016Survivor Stories: How to Endure the Rank of New Dentist and Live to tell about it
Feb 12th, 2016Be PROACTIVE and Rededicate Yourself to Membership in our Tripartite Organization
Feb 12th, 2016My New Years Resolution
Feb 12th, 2016# the future is not what it used to be
Feb 12th, 2016NOW is the time to belong to the KDA!
Dec 28th, 2015You Can Keep Our Momentum Moving Forward
Dec 28th, 2015Meet the Bevins
Dec 28th, 2015Measuring the Burdon of Ethics
Dec 28th, 2015Downtown Fun. If You Dont Believe Us, Come See!
Dec 28th, 2015Highlights of the 2015 ADA House of Delegates
Nov 23rd, 2015Delta Dental of Kentucky Hints at a Large Statewide Project in the Works for 2016 at the Kentucky Oral Health Summit
Oct 27th, 2015Scary Good Web Design Tips From Officite
Oct 15th, 2015Medicaid Work Group Update
Oct 15th, 2015Just the Facts: Kentucky Meeting Changes Create Confusion
Oct 15th, 2015Our New Mission will require the Efforts of All
Oct 15th, 2015Oral Health Literacy as a Primary Goal and Not an Afterthought
Oct 15th, 2015Still Crazy after Just One Year
Oct 15th, 2015Womens Forum Enjoys Perfect Weather, Perfect Setting and Engaging Dialogue!
Aug 14th, 2015Calling ALL Members and Non-Members: We Need Organized Dentistry!
Aug 14th, 2015Can You Hear Me, Now?
Aug 14th, 2015First, Do No Harm?
Aug 14th, 2015A Plan for Our Future, and a New Mission StatementHelping Member Dentists Succeed and Serve
Jun 23rd, 2015Our new KDA Mission: Helping Member Dentists Succeed and Serve
Jun 23rd, 2015Weve got a Plan!
Jun 23rd, 2015Irrelevance
Jun 23rd, 2015My Introduction: A Smidge of Trepidation, Overwhelmingly Full of Pride and Anticipation
Jun 23rd, 2015Part II: The KDAs Dental Access Summit A Report
Jun 18th, 2015Medicare Part D: Q&A - American Dental Association - May 29, 2015
Apr 28th, 2015Thank You for the Opportunity
Apr 28th, 2015Ask not What Your KDA Can Do for you
Apr 28th, 2015The View from No Mans Land
Apr 28th, 2015KDAS Dental Access Summit Saturday, January 31, 2015 Report to KDA Part I
Feb 20th, 2015Think Big!
Feb 20th, 2015Its all about the membership in 2015!
Feb 20th, 2015For the Record
Feb 20th, 2015Into the Belly of the Beast
Dec 29th, 2014Things are Moving Faster than Fast!
Dec 29th, 2014Who Wouldnt Want to Be a Part of This?
Dec 29th, 2014When Is the Right Time?
Oct 24th, 2014Dental Insurance Direct Deposit Through A Virtual Credit Card; What Does It Cost Me?
Oct 21st, 2014Who Can I Hire for $100 a Month?
Oct 21st, 2014Last Call
Oct 21st, 2014Im here to Help
Oct 21st, 2014Get passionate! This is Our Profession!
Oct 21st, 2014Postscript for an Editors Passing
Oct 21st, 2014and he did what?!: Giving a Professional Second Opinion
Aug 21st, 2014Your KDA is Working Hard for You!
Aug 21st, 2014Nobody Goes Into Dentistry Because They Love Molars!
Aug 21st, 2014Synergy
Jun 16th, 2014Think Big. Think Positively. Think Proactively.
Jun 16th, 2014Denigration
Jun 16th, 2014YOU HAD TO BE THERE!
Jun 16th, 2014New Friendships and Lasting Connections Creating a Stronger Interest in Organized Dentistry
Jun 16th, 2014New Friendships and Lasting Connections Creating a Stronger Interest in Organized Dentistry
Apr 24th, 2014I Only Have A Loose Screw!
Apr 24th, 2014Dare to Dream!
Apr 24th, 2014I am the KDA! You are the KDA! WE are the KDA!
Apr 24th, 2014The Dentists Guide to Social Media Marketing
Feb 20th, 2014Where Do We Go From Here?
Feb 20th, 2014Medicaid: An Example of Missing the Goals for Oral Health in Kentucky
Feb 20th, 2014UKCDs First Regional Dental Program: The First Ten Years
Feb 20th, 2014UofL Brightening the Smiles of Children
Feb 20th, 2014Go Tell It on the Mountains
Dec 23rd, 2013Letting the Secret Out
Dec 23rd, 2013It Is What They Left Behind
Dec 23rd, 2013Dr. John Thompson Awarded Distinguished Editor Award
Dec 23rd, 2013Teamwork Creates Champions: the Kentucky Meeting: March 13-16, 2014
Dec 23rd, 2013Listen to Interviews with our Speakers!
Dec 23rd, 2013Welcome Dental Students and New Dentists!
Dec 23rd, 20132014 Kentucky Meeting Details
Oct 17th, 2013I Still Like Maps!
Oct 17th, 2013Ground Game
Oct 17th, 2013Kentucky Department of Insurance, HB 497 and Non-covered Services
Oct 17th, 2013Dr. Janet Faraci Lees Legacy
Oct 17th, 2013Dr. Janet Faraci Lee Leadership Development Award
Aug 12th, 2013The Affordable Care Act: What does it mean for Our Members?
Aug 12th, 2013All Membership Is Local
Aug 12th, 2013White Crosses
Aug 12th, 2013KDA MembershipWhere Do We Go from Here?
Aug 12th, 2013Thoughts from a New Dentist: the Top Three Reasons that I am Involved with Organized Dentistry
Aug 12th, 2013How can KDAIS Benefit You, as a KDA member?
Aug 12th, 2013Beyond the Website: Marketing on the Modern Web
Aug 12th, 2013Delinquent Accounts.Collections..YUCK!
Aug 12th, 2013Every Patient Matters. So Does Every Transaction.
Jun 13th, 2013Preaching to the Choir
Jun 13th, 2013Something I Wish I Didn't Know!
Jun 13th, 2013The Foundation of the Kentucky Dental Association: Positioned to Make a Powerful Statement
Apr 15th, 2013Participate in Your KDPAC! Contribute and Deliver
Apr 15th, 2013The Pediatric Dental Benefit: Must Offer, May Purchase
Apr 15th, 2013Exchange What?
Apr 15th, 2013So Long, Farewell, Auf Wiedersehen, Adieu
Apr 15th, 2013United We Stand, Divided We Fall
Feb 12th, 2013Its a Dentist Thing
Feb 12th, 2013A Profession in Flux
Feb 12th, 2013Living Is What You Do When Life Gets In the Way
Feb 12th, 2013The Tip of the Iceberg: Actions by the Kentucky Department for Medicaid Services Which May Sink KMAP
Oct 19th, 2012Membership Matters
Oct 19th, 2012House Bill 1 and What It Means to You
Oct 19th, 2012Self-Regulation
Aug 21st, 2012The Perception of Dentistry
Aug 21st, 2012Sarrell Dental: Beyond the Operatory
Jun 18th, 2012Leadership or Politics?
Jun 18th, 2012What Part of the “Affordable Care Act” Has Been Affordable?
Jun 18th, 2012I Had an Uncle…
Apr 6th, 2012Many Thanks for a Great and Memorable Year
Apr 6th, 2012What a Year, so far!
Apr 6th, 2012The "New Old" Still have Teeth
Feb 21st, 2012Happy New Normal
Feb 21st, 2012All for One and One for All!
Dec 19th, 2011Access to Care?
Dec 19th, 2011The Wide World of Sports
Oct 28th, 2011Report of the Sixth District Trustee
Oct 28th, 2011To the KDA Executive Board and the entire KDA
Oct 18th, 2011Word-of-Mouth on Steroids!
Oct 18th, 2011Managed Care and Dentistry in Kentucky: a Dentist’s Dilemma
Oct 18th, 2011Why We Shouldn't Lose Sight of Our Purpose...
Aug 4th, 2011Mentor a Young Dentist and Change a Life
Aug 4th, 2011OMG, what is EBD?
Aug 4th, 2011CAPWIZ: Legislative Advocacy Made Easy
Jun 13th, 2011I Might Soon Be Coming to a Town Near You...
Jun 13th, 2011Outside Our Line
Apr 18th, 2011Let Me Ask For a Minute of Your Time
Apr 18th, 2011I Pledge to Be your Humble Servant…
Apr 18th, 2011Blindsided
Apr 18th, 2011On Your Side, Not Your List
Feb 17th, 2011Dr. Andy Elliott for President-elect of the American Dental Association
Feb 4th, 2011A Little Planning Really Helps
Feb 4th, 2011Adjusting Attitudes
Jan 4th, 2011Dental Management of Patients Taking Antiplatelet Medications
Nov 30th, 2010Holiday Greetings to All
Nov 30th, 2010Delegates Report from the 2010 American Dental Association House of Delegates, Orlando, Florida
Nov 30th, 2010Dental Education Found Worthy
Oct 25th, 2010Delegates Report from the 2010 American Dental Association House of Delegates, Orlando, Florida
Oct 7th, 2010What Happens in Alaska, doesn’t Stay in Alaska
Oct 7th, 2010We Need To Do a Better Job of Communicating
Oct 7th, 2010What If …?
Oct 7th, 2010I’m in a Hurry!
Oct 7th, 2010Who Will Speak for Me?
Aug 6th, 2010The Times They Are Changing
Aug 6th, 2010Kentucky's Dental Practice Act: The Passing of an Old Friend
Jun 10th, 2010How a Star was Born
Jun 10th, 2010I Need Your Help…
Apr 20th, 2010KDA and Louisville Water Company Share 150th Birthday and Public Health Vision
Apr 20th, 2010President's Message MA 2010
Apr 20th, 2010Getting It Right!
Feb 25th, 2010What is a Legacy?
Feb 25th, 2010Please Join Us for an Exciting, Event-Filled Year Ahead!
Dec 14th, 2009Holiday Reflections…
Dec 14th, 2009Challenging the Myth of the Suicide-Prone Dentist
Dec 14th, 2009There is Hope: Suicide Awareness and Prevention in Kentucky
Nov 6th, 2009Don’t Balance Health Care Books by Shortchanging Physicians
Nov 6th, 2009Break your Right Arm and Suddenly You have Time to Study Economics.
Jun 26th, 2009Making the World a Better Place, One Village at a Time!
Apr 13th, 2009Breaking Glass
Feb 20th, 2009At the Heart of any Worthy Project is a Committed Volunteer