Hi everyone I hope you are all well.
I need some advice on a trip to the dentist. I've been given antibiotics by the dentist which I have just finished.
The dentist has a list of all my medication. Which includes apixaban.
I'm having 2 teeth out on Saturday morning but she didn't say anything about not taking it. Do I need to stop the day before ?
Thanks for any replies in advance....
John.
Hi John - I’ve had two single extractions of large teeth without stopping Apixaban and without any problems.
This is something you need to discuss with your dentist in advance as many dentists now have protocols regarding anticoagulated patients. I think it depends on position of tooth (upper or lower) and on potential difficulty of extraction. I had much more intervention for a large upper extraction than for a difficult lower wisdom tooth - haemostatic gauze and stitches in the case of the upper tooth. Also in both cases a 20 minute observation and compression of the socket.
There are also NICE guidelines which could be followed so it’s best that you talk it over with your dentist.
Hi there,recently had an apiectomy...root of tooth removed due to abcess and also extraction of wisdom tooth, Told to leave off morning dose..then continue as normal later. He put stiches in extraction site to help heal. No problems. Hope this reassures you.
Thanks for your replies.
Not that concerned about it what I don't want is for the dentist to say she can't do it. Just spoken to the surgery and my dentist isn't there today. Spoke to a nurse and she advised me to get in touch with GP for advice???
Just had a reply from GP surgery.
He doesn't think I need to but check with dentist.. ....
It can sometimes be difficult to get advice from dentists, doctors and even arrhythmia nurses about anticoagulants and dentistry but the NICE guidelines are clear. Click on the link below, then on “scenario Apixaban” and then read the section on dentistry. I think you will find there is no need to stop taking Apixaban for two extractions. A couple of years ago I had a troublesome wisdom tooth and experienced no problems. Obviously check with your dentist but it might be helpful if you take a printout of the guidelines......good luck!
Hi John, I had 3 teeth out in August and a bone graft for implants I didn't stop my apixaban , all ok dentist knew I was on it and never suggested stopping it. You may bleed slightly more for a day or two but its minor and easily dealt with.
Andy
I had a tooth extracted last year, I was on Edoxaban and did not need to stop taking it for the procedure.
Be sure to tell your dentist that you want anaesthetic with no adrenaline as this can trigger AF.
It's not quite as effective, but the bonus is no AF and your face isn't numb for the rest of the day
Hi Tommo, I had a tooth taken out almost three weeks ago and I didn't stop my Edoxaban beforehand. It bled slightly for a couple of hours, during which I kept the stitched wound compressed, but then it stopped. I went back yesterday to have the stitch removed and it bled slightly again, but had stopped within twenty minutes. My dentist had agreed beforehand that stopping the meds wasn't necessary. Good luck for the procedure.
I was supposed to have an extraction but then did not need it ( inflammation of periodontal ligament which resolved after filing tooth down a bit) . The dentist consulted my doc and was told I did not need to stop.
Thanks for all your replies.....
Call the dentist and your doctor. Get their assessment based on your level of well-being and your other medications. As you can see from below there are a variety of answers. Get one that is specific to you. My dentist and doctor work together because they want to keep me healthy.
Advice please
Urgent advice please
Advice needed, please!
Advice please 
