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hi all, may have to go to dentist for a tooth removal have i got to stop my dose ov warfin, has any one had dental work done while on warfri

mouseytrain profile image
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mouseytrain
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28 Replies
Maitha profile image
Maitha

Hi Mousytrain

Yes I did and in case of tooth removal you should stop it , your cardiologist should advise you for how long since it depends on your case

In my case I have mechanical valve and PAF where the anticoagulant is highly necessary , I stopped it for two days before the dental works and I continued the next day then I did INR test to monitor the level as required

Hope the above information was helpful

Regards

mouseytrain profile image
mouseytrain in reply toMaitha

thanks for the advice maitha, every one on af site has been so help full,..mike.

jeanjeannie50 profile image
jeanjeannie50

Dentists always need to be informed if you are taking Warfarin regardless of what you're having done by them. A quick call to your dental surgery to let them know you are taking it and what your INR level is, is what's needed, Explain your tooth problem and ask for your dentist to contact you with advice. They are the experts in this situation.

I always remind my dentist I'm taking warfarin when I go and he'll always ask what my INR is.

Hope this helps a little .

Jean

mouseytrain profile image
mouseytrain in reply tojeanjeannie50

thanks jean every ones replys helps a lot got loads ov info now.regards mike.

Beancounter profile image
BeancounterVolunteer

Hi Mouseytrain

I haven't yet had an extraction, but my dentist has told me that at my next visit in 2 weeks she will probably recommend one, and she says she will send me to the hospital dentist to have it done, but probably not stop the warfarin.

It does seem to vary according to who is doing the extraction, for certain as everyone says take your yellow booklet with you to the dentist and let them know your INR.

I will come back and tell you what they say when I get to the hosital dentist, maybe the advice will be to stop the warfarin.

Be well

Ian

mouseytrain profile image
mouseytrain in reply toBeancounter

hi beancounter, look forward to hearing from u soon thanks for advice mike.

Dodie117 profile image
Dodie117

I had a tooth removed and did not have to stop warfarin. Talk to your dentist. Marie

mouseytrain profile image
mouseytrain in reply toDodie117

thanks marie i will.

Froggy profile image
Froggy

Hiya Mouseytrain. I have had a tooth extraction without stopping my warfarin a couple of years ago. My dentist was only interested in my INR level which was 2.5 at the time. In fact, I am having another tooth extraction this coming Thursday, my dentist is still aware that I take warfarin after a consultation last week and my INR check is Monday.

If I remember rightly, the dentist used something in the injection and the plug afterwards that contains some sort of local coagulation? Like Marie said, best talk to your dentist really. Good luck, not the most pleasant of activities! F.

mouseytrain profile image
mouseytrain in reply toFroggy

i take care ov my teeth still dont like dentis, inr is 2.4 .regards mousey train.

MissL profile image
MissL

I had tooth extraction and wasn't told to stop warfarin, they used to give antibiotics years ago before any dental treatments but that has now been stopped, they say there is no need these day ! Policies change all the time !

mouseytrain profile image
mouseytrain in reply toMissL

hi missl, thanks for the advice, prob go to hospital dentist , as havent got my own one

Maitha profile image
Maitha

It depends on your INR level even you are taking warfarin

Antibiotic usually prescribed for me prior to any dental works due to my mechanical valve Issue

mouseytrain profile image
mouseytrain in reply toMaitha

inr is 2.4 next check in 3 weeks time, after14 months think iv leveld out ,many thanks.

Frednurk profile image
Frednurk

On ANY occasion such as this, make the person treating you aware of ALL your medication and ask for advice!!!

DON'T ''play it by ear''

Frednurk profile image
Frednurk

On ANY occasion when you are to have any sort of medical or dental procedure, make the practitioner aware of All the drugs that you are taking, prescribed or otherwise. Don't play it '' by guess or by God. ''

mouseytrain profile image
mouseytrain in reply toFrednurk

thanks for advice fred.

Frednurk profile image
Frednurk in reply tomouseytrain

You're welcome. My dentist won't take my teeth out at any price. He sends me to the hospital.

Either he's chicken or he can't stand the sight of blood ! (I've only got three left anyway, and I'm hanging on to those as long as I can. Best of luck. )

mouseytrain profile image
mouseytrain in reply toFrednurk

i just hate the needle, but 5 minuits in the chair is better than being in pain, thanks again mike.

lizwright profile image
lizwright

Yes I had an emergency tooth out a couple of years ago and after it came out the dentist and I looked at each other in horror as we both realised that I was on wafarin. But although I did bleed quite a bit, it stopped and all was well.

lizwright profile image
lizwright

Yes I had an emergency tooth out a couple of years ago and after it came out the dentist and I looked at each other in horror as we both realised that I was on wafarin. But although I did bleed quite a bit, it stopped and all was well.

mouseytrain profile image
mouseytrain in reply tolizwright

thanks liz hope mine stops as yours did ,bit scared now.

Vivante profile image
Vivante

Your dentist will know, he used to provide a prescription for antibiotics, that was stopped. I do not take warfarin the day before I have the tooth removed, no problems with INR levels. If you need more than just an extraction, you may need to be referred to a hospital.

mouseytrain profile image
mouseytrain in reply toVivante

inr is 2.3 stays around 2.3 ...to 2.6...my target is 2.5.

Japaholic profile image
Japaholic

I get bleeding gums just cleaning my teeth since starting Pradaxa I'm dreading going to the dentist. I will discuss with cardiologist before I go for sure.

mouseytrain profile image
mouseytrain in reply toJapaholic

i get that two since being on warfrin, never had it before, prob why the tooth is loose

lizwright profile image
lizwright

Probably not as scared as your dentist. Mine hates touching me I think, even cleaning them they bleed. But he/she will be well aware of what to do so don't worry and anyway stress will upset your heart so deep breaths or wine or whatever works for you...

Frednurk profile image
Frednurk

Hello Mouseytrain,

I got ticked off by the hospital once when I stopped Clopidogral before having a tooth out according to the patient information leaflet. Now on Warfarin and have never stopped taking this before an extraction.

BUT the only person who should advise you is the dental surgeon or your doctor. All of us are unqualified to advise on this. Ask a professional !!!!!

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