AF and Dentist

[Bekiebexs]

Hi everyone, went to dentist today and have to have a filling on next visit .

Is it ok to have injection when you have PAF ?

Or will it bring on AF ?

Would appreciate any experience or views on this .

[rosyG]

I’ve not had any problem. I’ve had two lots of two teeth removed and all fine

[Bekiebexs in reply to rosyG]

Thank you rosyG for replying.That’s really reassuring.

[bantam12 in reply to Bekiebexs]

Make sure you get an adrenaline free local anaesthetic.

[Bekiebexs in reply to bantam12]

Thank you bantam12 will speak to dentist about that as never heard of it.

[MazzerM in reply to bantam12]

Yes - I have always been offered an anaesthetic without epinephrine/ adrenaline because of my AF.

[Mo-ararat in reply to rosyG]

Hi Rosy. Did the extractions reduce your AF in any way?

[rosyG in reply to Mo-ararat]

I have PAF and teeth problems hadn’t affected it at all.

[beach_bum in reply to rosyG]

Ya...I've never heard of adrenaline-free freezing. Maybe for dental surgery? Just good old novacain has been what I've had. Quick freeze and done.

[jeanjeannie50]

You need to explain to your dentist that you have PAF and he/she will use an adrenaline free injection. X

[Bekiebexs in reply to jeanjeannie50]

Thank you Jean I will, really didn’t want to be sitting in dentist chair and having nasty attack.

[Hidden]

A lot of people here ask for adrenaline free anaesthetic but that caused a bit of head scratching at my dentists so it’s never happened for me. I’ve not experienced any problems so far but due to have a crown fitted later this month so I may have a different opinion later....🤔

[Bekiebexs in reply to Hidden]

Thank you FlapJack the dentist also mentioned about having some crown work done .I will mention the adrenaline free anaesthetic .

Thank you all for your replies, really helps to come on here when you have problem like this and get advise 😊

[Bekiebexs in reply to Bekiebexs]

Sorry advice 😊

[bantam12 in reply to Hidden]

Your dentist should know to use adrenaline free local on anyone with heart issues ! Worrying if he doesn't ! When I was dental nursing I always kept equal amounts of both types of local in the drawer as it was routinely given on a daily basis.

[Bekiebexs in reply to bantam12]

I went to a new dentist today as my one has been closed since last year due to Covid . So hard to get appointment at dentist now and some not taking on new patients. A friend recommended me to her one, I did have to wait about 6 weeks for appointment,

Also filled in medical form which stated I have heart problems and AF.

Hopefully she will have the adrenaline free !

[bantam12 in reply to Bekiebexs]

She certainly should have it, if not I would be going elsewhere !

[Hidden in reply to bantam12]

Interestingly, the practice brought in a “specialist” dentist for extractions and whilst she was familiar with adrenaline free, she said that because it was less effective, significantly more would be required for removing a wisdom tooth so any benefit would be minimal......I had been in so much pain I just wanted the bloody thing out! Ironically there was little bleeding too and it was all over in a flash!

[bantam12 in reply to Hidden]

It isn't less effective but it sometimes doesn't last as long as a regular local so might need topping up, personally I would rather have a top up than my heart going crazy !

[pusillanimous in reply to bantam12]

I agree. there are a number of situations where the dentist should use an adrenaline free local, and if one treating me had to scratch his head at the mention of it, I would have leapt out of the chair and out of the door in 2 minutes flat !

[DGET1 in reply to Hidden]

I have Adrenalin in my anaesthetic, with no probs, better than pain 👍

[Bekiebexs]

Oh ! Wisdom teeth are so painful 😩Had mine out years ago thankfully,

Pleased to hear all went well for you 😊

[Nerja2012]

Just had minor eye op and they used adrenaline free. Tooth extraction next week is also adrenaline free . Dont worry just ask to make sure.

[Bekiebexs in reply to Nerja2012]

Thank you Nerja, I’m really learning about this adrenaline free. Will definitely ask to make sure.

[DGET1 in reply to Nerja2012]

Trouble with Adrenalin free anaesthetic, it wears off very quickly.I’ve had tooth extractions with Adrenalin free, but told dentist I wanted lignocaine with Adrenalin for implants, because of length of time it would take.

[Nerja2012 in reply to DGET1]

Dg. I had an eyelid correction 2 months ago (inverted eyelid) that took 1 and half hours and never felt a thing . Looked like id been in a fight for weeks after 😂

[mrgwair567]

Hi Bekiebexs Never had a problem with fillings or at my last visit an extraction Always make sure you have a non adrenaline injection Good luck!

[Bekiebexs in reply to mrgwair567]

Thank you mrgwair for replying.Will definitely have the non adrenaline injection.

[rosyG]

My dentist didn’t like the adrenaline free option and I didn’t have any problems with normal one. Some people have found differently

[DGET1]

I had dental implants fitted , and had loads of lignocaine with no probs, also didn’t even stop Apixaban, just delayed morning dose, no probs with bleeding.

[tabletphobic in reply to DGET1]

That's useful, I am putting off going to the dentist because I'm worried about been on blood thinners

[Danceawaytheblues in reply to tabletphobic]

Do not be afraid about going to the dentist after being diagnosed with heart problems. I have just finished a 4 week course at my dentist, my crown broke off, and I was dreading what I would have done. My dentist and her nurse were amazing, put this old 75 year `girl` at ease. I have my smile back and all went well, not a single episode of AF. Happy days. x

[Jonathan_C]

This may not be relevant to people with afib, but I had wonky heart valves since a young age and my dentists have always given me antibiotics when they do anything more than inspect my teeth because i may be more sensitive to the gunk and oral bacteria because of my weaker heart.

[Maggimunro]

My dentist was advised never to use a local anaesthetic containing adrenaline on the rare occasion I have needed injections for dentistry. This can trigger AFib.

[TracyAdmin Partner]

Hello - please do not hesitate to contact our AFA Patient Services team - they will be able to provide advise re dental treatments ahead of the appointment. Kind regards Tracy 01789 867 502

[allanmichael]

I had a filling two months ago with an injection . I have AF. no problems for me after I left the dentist. But I did tell the dentist that I have AF and also what medication I am on

[Ducky2003]

My dentist uses different anesthetic with me but as someone mentioned, it may need a top up as it's not as long lasting/effective. I usually try and have fillings done without any as I hate being numbed up.

[Ecki]

I had a local anaesthetic with adrenaline at GP's recently, didn't think to ask for adrenaline free type. I had horrendous ectopics for 10 days afterwards. I think my heart was trying to go into AF but couldn't because of my ablation. Nasty experience, but I will never again forget to say I need adrenaline free locals.

[Bekiebexs]

Thank you all for taking time to reply .All this information you have all given has been so helpful.

I have certainly learnt a lot.

That’s what I love about coming on here.

May all your visits to the dentist be pain free 😀

[Finvola]

I've had some extractions and fillings and always remind the dentist of my need for adrenaline-free injections - I think it is on my chart.

For one particularly difficult extraction, the dentist had adrenaline injection ready 'just in case'. He explained that the adrenaline helps to hold the anesthetic in the tissues and therefore provides a better deadening of nerves, lasting longer. I think he said it also helps to control bleeding (might remember than wrongly, though). I never had problems and didn't need the 'full monty', nor had I any troublesome bleeding.

[Ducky2003 in reply to Finvola]

Yes, it does control the bleeding as it constricts the blood vessels. I did have quite a bit of bleeding after an extraction, even though I had not taken my Apixaban, using the non adrenaline anaesthetic.

[Windlepoons]

I try not to have any anaesthetic but on the rare occasions I do, then its adrenaline free. I had my first bout of AF five years ago, but had wondered why my heart raced when I had normal anaesthetic, which had happened for many years prior to AF rearing its head. I think it was telling me something!

[Bekiebexs in reply to Windlepoons]

Hi Windlepoons, yes I think it was telling you something! I too remember having normal anaesthetic in the days before PAF and my heart racing too .

I thought that was normal at the time .

Thank you for taking time to reply.

[Snowgirl65]

If you're referring to Novocain for the procedure, I always ask for the type that has no epinephrine (adrenalin) in it, which could trigger a-fib. But I've on occasion had it with epinephrine and had no problems.

[Bekiebexs in reply to Snowgirl65]

Hi Snowgirl , I was really concerned about having the injection.Thank you for replying.

[JudyMarieC]

I've had root canals and crowns done with the adrenaline free anesthetic. It work fine - no pain.

[Bekiebexs in reply to JudyMarieC]

Thank you Judy for replying.All helpful 😊

[Claer]

Good question for a recent experience I have had. I have PAF and when I had a filling replaced, I requested novocaine without the epinephrine. I am very sensitive to any type of steroid medication. As you probably know, epinephrine is used to extend the effects of the novocaine. (please excuse any spelling errors on these drugs). However, it is very little and probably would not cause any problems. I just want to eliminate any concerns, and my dentist and I agree on my choice. (He is such a great dentist and completed the work in under a half hour). I walked away with a new filling and a still numb face. Anyway, I imagine it would depend on the extent of the work done, but even if a long procedure like a root canal is done, more novocaine can be administered, if needed (I have had that done, too). I hope this helps, and you perhaps can talk to your dentist ahead of time about any concerns.

[Bekiebexs in reply to Claer]

Hi Clare, thank you for taking time to reply with your experience.Really helpful information 😊

[brit1]

my dentist has it written on my chart not to include epinephrine in my numbing injections

[Bekiebexs in reply to brit1]

Hi brit1, I think that’s a good idea will ask my dentist to do this too .Thank you for replying.

[Surreychica_1]

I had a tooth removed. I didnt stop taking the blood thinners or the anticoagulants and I was fine.

[Bekiebexs in reply to Surreychica_1]

Hi Surrey chica, that’s good you were fine .Always scary when having tooth removed.

Thank you for replying.

[Surreychica_1 in reply to Bekiebexs]

It bled for longer obviously, but all I did was pop in a damp cotton pad at night that was all! It was one of my molars as well and it was really deeply embedded in my gun and not a lot left to get hold of. It was all over in a matter of minutes. I could hardly believe it!!

[Bekiebexs in reply to Surreychica_1]

Yes molars and wisdom teeth are always difficult!I’m sure you were pleased when it was all over 😊

Well done !

[maxturner1]

It shouldn't affect you in any way. Just make sure your dentist is aware of your heart issues so that he can comply with them and use non-damaging products on you. I also struggle with PAF, which, my whole life, increased my anxiety when trying new things or services. Now, I ensure myself that my routine and everything else I do is according to my health condition, and I somehow manage to control my stress. Don't hide this issue you have, especially when it comes to yorkshiredentalsuite.co.uk/, because you enhance the chances of harming your health.