Warfarin: Am about to have a tooth... - Atrial Fibrillati...

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Warfarin

Vdl1 profile image
Vdl1
6 Replies

Am about to have a tooth extraction and implant .....what happens re warfarin.....

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Vdl1
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6 Replies
knightrider profile image
knightrider

Hi Vdl1

You do not usually have to stop taking warfarin, but depending on your INR level you may have to reduce your dose to get a little bit lower in your therapeutic range. You should ask your dentist what they need you to be. You should contact your anticoagulation clinic/GP, depending on where you get tested, at least two weeks before your dental appointment.

If you are self-testing then you may have to test more frequently in the run up to your appointment.

BobD profile image
BobDVolunteer

Make sure you have adrenaline free local anaesthetic.

Bryonny profile image
Bryonny

I had a wisdom tooth extraction and kept taking Rivaroxaban without any problems.

maxim314 profile image
maxim314

A friend of mine was on warfarin but her dentist recommended going on to rivaroxaban before he would undertake much needed dental surgery.

Best wishes,

somewhat-nervous.

AnticoagulateNow profile image
AnticoagulateNow

When I was on warfarin, my dentist wanted an INR (within 24 hrs) showing a reading under 3. Involved going for a finger prick reading the morning of the dental appointment.

Dulcimer profile image
Dulcimer

Hi, I had an implant last year and was told to keep taking Warfarin as long as the inr was under 3.0.

Every thing went well until I got home. The bleeding started after an hour so I returned to the dentist who gave me new swabs every hour for 7 hours. Eventually he sent me to A and E where they tried adrenaline soaked swabs. At midnight I was given a vitamin K injection and my blood started clotting within an hour.

It was a very unpleasant experience and I wouldn't have another implant without stopping taking Warfarin first.

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