Rivaroxoban & Dentist

[bluebell111]

I have to have a tooth extracted & my dentist says I needn't stop my rivaroxoban.....is this right.....I am worried after reading the instructions which state the opposite.....hope you can advise me ...all you knowledgeable AF people. thanks

[Finvola]

I take Apixaban and had a large tooth taken out without stopping the anticoagulant. My dentist took great care, checking for excess bleeding for 15 minutes after the extraction and put a dissolving packing into the socket and 2 stitches. Everything was hunky-dory, went home and all healed well.

I always ask for adrenaline-free injections as adrenaline causes my heart to race and apparently adrenaline helps to control bleeding in the tissues, but I had no problems at all.

[BobD Volunteer]

Trust the dentist. There is no need to stop anticoagulants these days for extraction. See Finvola's post .

[Aprilbday in reply to BobD]

BobD, whether your responses on here are from 3 years ago such as this one, or 3 seconds ago, the effect is the same: you educate me, you provoke my perceptions, you calm me. Your experiences, background, professional and personal knowledge and people-skills are truly wanted here and sorely needed. I imagine it might be tiring for you though, carrying that “healing torch” of illumination on the ins-and-outs of this condition while so many others doing as well as you have moved on and forgotten this community as they are healed. It must be frustrating at times for you -reading repetitive discussions, seeing misleading or incorrect information, but... you are, thankfully, still here. Guiding the way...... I surely do appreciate your being on here. Thank you.

[BobD Volunteer in reply to Aprilbday]

Thankyou April. I still remember how terrified I was when my AF started all those years ago and there was nothing like this to help.

[Dodie117]

I too had tooth extracted and did not stop anticoagulant. It was fine and hardly bled at all.

[Hidden]

My cardiologist said stop taking it 48 hrs before a dental treatment - maybe he's very cautious. I also always ask for adrenaline free anaesthetic - for my extraction I was recommended by my previous holistic dentist to use Scandonest, which my current dentist checked and agreed with and ordered some in specially.

[PeterWh]

It is down to the dentist at the end of the day. Some a quite happy to do anything when patients are on anticoagulation and as one said to me that she believed the risks of stopping anticoagulation were well in excess of the risks of serious bleeding that ensued. For those on warfarin the dentist might not do so if you are at the top of range (my therapeutic range is 2.5 to 3.5 but dentist wants it to be 3 or under if possible).