Dentist

[Chocolat1]

I have Afib and have been waiting to see cardiologist for almost a year.I take 2.5 bisopropol and edoxoban and ramapril plus statins .I am due to see dentist in February, and I know I possibly need a filling if not extraction. I'm a bit worried about bleeding could any one possibly advise.Thankyou

[Mrsvemb]

Don’t worry, it’s not a problem. I recently had an extraction and a separate root removed. I am on Dabigatran which is taken twice a day. My dentist was happy for me to just miss the morning dose. There were no problems with bleeding and I restarted Dabigatran with the evening dose.

Fillings are not a problem at all.

Your dentist should be able to guide you on this.

[Chocolat1 in reply to Mrsvemb]

Thank you 😊

[Mrsvemb in reply to Chocolat1]

One thing that I forgot to mention, others have, is to ask for the adrenaline free injections as adrenaline is a common trigger for AF.

Hope all goes well.

[Hidden]

Good Afternoon

Whilst taking anti-coagulants there is an increased risk of bleeding and it is important that you inform your dentist of any medications you are currently taking. However, a routine dental procedure like this is usually fine, and they have procedures in place should any unusual bleeding occur. It is something that they are used to and confident with, perhaps a call to speak with the dentist or the dental nurse beforehand will help for your peace of mind.

Katrina.

[Chocolat1 in reply to Hidden]

Will do thanks

[Finvola]

Make sure your dentist has up to date information on your drugs and condition. I take Apixaban and have had a recent extraction and a filling with no problems of bleeding at all.

I always ask for non-adrenaline injections as I wish to avoid a repeat of an episode of tachycardia brought on by the use of adrenaline years ago. If you do have an extraction, your dentist will advise on after care - you'll be fine.

[Chocolat1 in reply to Finvola]

Will do that thanks

[Blearyeyed]

As long as you inform your Dentist of your health conditions and tell them , or give them, a list of the medications you are on there is usually not a problem. If they know your information they know how to adapt what they do and give you specific advice about how to care for your mouth after an extraction to reduce the bleeding.They are usually very experienced with dealing with various patients with various types of health condition and have good guidelines that they follow to treat you safely and with less stress to you.

Good luck , Bee

[Chocolat1 in reply to Blearyeyed]

Much appreciated thanks

[Buzby62]

Never an issue, just tell the dentist before, some may ask you to leave a morning dose off but I never had to. They will probably use non-adrenaline anaesthetic not to upset the AF monster.

Best Wishes

[Chocolat1 in reply to Buzby62]

All good then thanks

[FraserB]

I've had an extraction of a molar and a few months later a dental implant. Told to skip the apixaban dose the day of the procedure. Oral surgeon had no problem with both procedures and I was fine later that day. Resumed my apixaban the day after. Though I had to take a Tylenol later that day for minor pain.

[Chocolat1 in reply to FraserB]

That sounds right,but,I think I would be concerned stopping edoxaban for a day,as it only takes 24hours for a blood clot to for.

[kkatz in reply to Chocolat1]

I had a wisdom tooth extraction.On edoxaban no problems with bleeding but they did add some packing & stitches.I normally take edoxaban at 5 pm and as extraction for 2.30 I took it around 4 pm day before and about 8 pm on day.

[DoggieMum]

I also have the same and am on 7.5mg Bisoprolol, statins, blood pressure tablets and blood thinners. I have had three tooth extractions in recent times and have just undergone extensive treatment including root canal treatment and the replacement of a crown. This consisted of four appointments each lasting more than an hour and, apart from the obvious discomfort caused by the treatment, it has not affected my heart health at all.

[Beffohol]

Hi, I take all three of your medications and have absolutely no problems at the dentist. You have to let your dentist know that you are on blood thinners, and they will be mindful of this for any/ all future visits. I know it's a bit of a challenge navigating new medicines and conditions but try not to worry and just make sure you let folk know if you are in any situation which could cause bleeding.

[Myflowers2]

Hi I am on same medication as you. I have recently had a filling near the gum line it was fine. I was worried like you but all ok.

[Sputnik56]

Hi, I have had couple of fillings, with no problems whatsoever. I don't even recall asking for the adrenaline free injection, but all was well.

Only thing I would caveat that with is that I am due to have a tooth extraction on 14th Feb. I put a call in to arythmia nurse as I had an ablation on 1 December and wanted advice. As I am still in the 'blanking' period, she advised that I should not stop my anticoagulant (Edozoban) for the duration of the blanking period I.e. 3 months from date of ablation. Had a call with dentist who reassured me that we could go ahead without the need to stop my anticoagulant. Put my mind at rest being able to have a quick conversation with him as, from the sound of it, he has extensive experience in this situation.

All the best.

[TillyBoss]

I asked my dentist about this and she told me she applies something which counteracts the anticoagulants when extracting

[JOY2THEWORLD49]

Check with Dentist and Dr as mine wasn't worried with a filling or extraction. But nevertheless I delayed the morning dose. Taking PRADAXA twice a day makes it easier.

Dentist said she has 'stuff' in the case of bleeding.

If you have heart murmur its different you need to be on antibiotics.

Check it out with all concerned and reminding everyone that you have AF.

I have persistent but no longer raoid as controlled.

cheri JOY 75. (NZ)

[Sixtychick]

I’m on Edoxaban and have had teeth out. They haven’t stopped it before any extraction and I’ve not had any problems with excessive bleeding. They will probably pack it with a gauze pad and get you to bite on it. Obviously you will tell them you’re on an anti-coagulant first. I always ask the dentist for a plain anaesthetic, without Adrenaline, as my medication can react with it and it’s not good for people with AFib, or other cardiac problems either. Nothing to worry about.

[VimtoLover]

I recently had an upper molar extraction which was quite a big job but I was absolutely fine.

[Sim22]

Hi Chocolat1I've recently had major dental surgery, I'm on Rivaroxaban my GP and cardiologist suggested that I stop two days before the procedure, I then started the next day. I was absolutely fine. I did have considerable bruising but that was expected

[DiyChas]

Simple response is check with your dentist.

[Desanthony]

You should inform the dentist of all the medication you are on - including supplements and vitamins. Once early on my AF journey I decided not to take my apixaban the morning before an appointment for an extraction though neither the dentist nor my cardiologist felt there was any need to. Since then I have had lots of complicated dental work - another 4 appointments this month and continue to take apixaban as normal. It may be worth your while asking for an adrenaline free injection as the adrenaline can sometimes trigger AF.

[Chocolat1 in reply to Desanthony]

Thanks for the information very helpful