Dental work and Coumadin

[Sue1158]

Hi, I am getting ready to have 3 widom teeth and a molar removed is it nessesary to have to stop the coumiden and if so how long before? How much of a risk is it to do so? If your levels are normal can i just stay on it? Thanks
Sue

 

[Ross]

Hi Sue and welcome to the forums.

Please see this link from Mr. Al Lodwicks site, www.warfarinfo.com you can get most of your Coumadin answers there and what you can't, he monitors in here anyway.

Here is the link:

http://www.warfarinfo.com/dentalprocedures.htm

 

[Guest]

With four extractions at one time you could be at risk for bleeding. You should ask your doctor's about bridge therapy using heparin or Lovenox. You might also discuss with your dentist the risks of leaving the wisdom teeth in place vs. the risk of having a stroke.

Nobody knows for sure what the amount of risk is exactly but I have been consulted on twwo cases where people had strokes in the dentist's chair.

 

[Sue1158]

Tooth extraction and coumiden

Tooth extraction and coumiden

Hi, I am getting ready to have 3 widom teeth and a molar removed is it nessesary to have to stop the coumiden and if so how long before? How much of a risk is it to do so? If your levels are normal can i just stay on it? Thanks
Sue

I ended up having just a wisdom tooth done that was giving me trouble instead of all the others as well. I did not have to come off coumiden which was a relief. My surgeon said that if my levels were in normal range it would be fine. This was music to my ears. We checked them the day before. I did bleed for a while but not terrably. Glad thats over. Thank to all for your advise :

 

[Harpoon]

I've asked a few doctors (and have had a few personal accounts as well) about this kind of thing and I'm still not sure I have a "good" answer for the question.


Thankfully, I had my wisdom teeth out long before I had any valve problems. I did have one other "bad" tooth out about a month or so before surgery but it was complication free. I ALWAYS take a prophylaxis (antibiotic, amoxicillin in my case) before seeing the dentist for anything. That's a precaution against endocarditis, an infection of the membrane that surrounds your heart, it can be deadly.

I've been to my dentist three times now since going on coumadin. I've asked him and my cardiologist about going off coumadin or taking an alternative before sitting in the chair and they've both said it wasn't neccesary. HOWEVER, I did bleed quite a lot after each visit, though the last time out (for a filling) wasn't as bad as the first two (a cleaning, that was REALLY messy, and a filling)


The only time I've ever bled that much in my mouth before was after having my wisdom teeth out and this time around was much worse.


It's really annoying, I HATED having a "spitoon" at hand at all times for a few days straight but it was neccesary when I had my wisdom teeth out and I had sworn I'd never do that again.

Guess what...


Grrr....


I've heard it from my dentist, my card, and my PP, no changes in your coumadin, it's not neccesary.

And I bled "profusely" for at least 12 hours after seeing my happy dentist, if not longer.

I may place a call to my surgeon in Cleveland next time I see the dentist, ask HIS opinion.

 

[Guest]

Personal history must always be considered in conjunction with the guidelines.

 

[RCB]

Had all four out

Had all four out

I had all 4 WT out when I was 20 and stayed on warfarin.
I just bit down on cotton for four hours. With the pain,
the bleeding was the least of my problems.

 

[Blanche]

Hope you find this link helpful

Hope you find this link helpful

http://www.ingenta.com/isis/searchi...ke://ada/jada/2000/00000131/00000001/art00012

Harpoon:

Sorry to hear about your problems with dental work. You are the first person that I know of who has reported such problems. Just shows you that one size does not fit all.

Regards,
Blanche