Last time I am almost sure I didn't have to stop taking it and there were no problems.
I phoned the dentist to check and he said ask your GP.
I KNOW i asked my GP last time and was told "ask your dentist".....but despite this, I guess I am going to have to do the econsult anyway, which takes so long!!
..no one wants to commit it seems!!
The difference is, I am now taking RAMIPRIL as well.
Anyone else taking both these meds and had treatment?
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Wightbaby
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I don't know how it works in the UK, but in the US, we have both Dentists and Oral Surgeons.
And while Dentists are more than capable of a simple tooth extraction, Oral Surgeons are the gold standard, especially when it comes to more complicated cases, which yours may qualify for.
I have had several teeth extracted over the years, with the usual pulling and tugging, but when I once went to an oral surgeon, I wasn't even sure he started working on the tooth, when he told me it was over!
My guess is that you would not get the kind of runaround from a good oral surgeon as you seem to be getting.
Unfortunately in the UK oral surgeons only work in hospitals and you need a referral to see them. The wait for me last year was 7 months. I needed an extraction which my dentist couldn't do because a piece of jawbone was in the way.
Hi i have been waiting 5 weeks for a upper back tooth extraction. My NHS dentist uk was from Romania and also is trained as a doctor . He referred me to the Intermediate Minor Oral Surgery (IMOS) service. Which is at another local dentist not a Hospital and has a NHS oral surgeon who visits the practice to carry out complicated extractions. I have another 5 weeks to wait but you can wait up to 18 weeks for a NHS oral surgeon when using this service. I have not been told to stop taking Edoxaban and I also take Ramipril
My late Dad grow up in Wroxall. I have family in Ventnor and Shaklin and all over the island. There surname is Westmore. We still have NHS dentists in Brighton and Hove. take care Pam x
That surname rings a bell. I lived in Whitwell for 20 years and worked in Ventnor (Royal Hotel). I bet my friend who ran the buffet bar would know some of your family...PM me if you like : )
I recently had 2 back teeth removed. 3 months later I had 2 implants fitted. I take edoxaban and bosoprolol. I did not skip any tablets prior to surgery, I experienced very little bleeding. I had some swelling around my face and a degree of pain/tenderness. I stayed in NSR throughout and I remain so.Personally I would not worry about dental treatment. I do of course recognise that we can all react differently to a treatment.
I concur with what others have said, it is very difficult to register for NHS dental treatment.
Thank you for your reply. I arrived for an upper wisdom tooth extraction at 6pm last night to be told 4pm patient still in the chair. Soon after that asked to rearrange. It will now be 10 days before an 0 birthday celebration. Your post is reassuring and after several extractions over the years ,I know recovery is different for each one.
I know this has nothing to do with the anti-coagulant, but please excuse my curiosity in asking. I keep reading about teeth being extracted in the NHS, so I'm interested to know if they replace them with a bridge or implant or even a removable partial denture?
YOu have a choice. The NHS has different price scales for each treatment. With back teeth they tend to suggest just leaving a gap but for front teeth a bridge or a partial denture is normal. I've had both. Implants are only done privately. When a tooth next to my bridge became infected it wasn't strong enough for a double bridge so it had to be a little denture.
I’m in the US not familiar with the meds you’re referring too, if one is a blood thinner you need to stop 2 days before the procedure. I also had an upper tooth extracted, didn’t stop my blood thinner and had an extremely difficult time getting the blood to stop ! I know of someone had extraction didn’t stop blood thin had to go to the hospital. Do yourself a favor and stop the thinner at least 2dsys before the procedure.
l had a upper molar extracted a couple of months ago. Made a morning appointment and took my Edoxaban after the extraction rather than first thing. Dentist happy and little bleeding.
That is what I did before and am thinking of repeating that exercise. GP said no need to stop Ramipril but suggested I check with my dentist about anticoagulant (Round and round we go!!)
Had tooth extraction and implant a week ago. Extraction took over an hour as deep roots!! Stopped Apixaban the night before and dentist said there were no bleeding problems. Always have non- adrenaline injections as well.
I take Apixaban which is the same as Adoxapan which are blood thinners . In all cases it is imperative that you clarify with anyone undertaking any surgery ( dental or otherwise) that you are taking this medication, and have it confirmed that you should/should not be taking it when surgery is being undertaken. Normally blood thinners are stopped 2/3 days before any intervention, but again get this clarified as blood thinners have a half life of only 12to 14 hours and you are at risk whilst not taking it . Be careful, take profession advice before discontinuing any medications .
I only had to stop anticoag's for 2-3 days when having actual surgery. (Mole cut off of arm)...only had to stop for the actual morning of procedure last time I had a tooth removed
Over the last few years I've had 4 extractions, my dentist has always asked me to stop taking my Edoxaban 48 hours before and has stitched the wound to speed the healing. No issues at all with bleeding.
I take similar, apixaban and losartan. For an extraction, I was told to stop the morning dose (apixaban is twice daily). For a small upper extraction, I wouldn't be surprised if you were just to press on as usual, but your dentist is the one to decide, I'd say, not the doctor, as he or she would have the relevant experience.
I’m in the UK, I’ll be needing a tooth extracted in the near future and have discussed it with my dentist ( he’s now private), the plan will be for adrenaline free pain relief and to juggle my riveroxaban on the day but not to miss it.
Also there’s apparently some Scottish dental guidelines that dentists consult, that are available online. Try having a look at them.
I have never had to stop my anticoagulant when having a tooth extraction but they have been simple extractions. I have had, and am still having a lot of bridge work done had 2 extractions and having implants and have not been told to stop the apixaban during this whole process - going on for 6 months now and it will be over 7 months by the time it is is all finished at the end of March. I always ask the dentist if they think it is worth stopping as if it is a complicated extraction or implant it may cause more bleeding than usual. The first extraction I had after diagnosis both my GP and Dentist said there was no need to stop my anticoagulant but I did not take the morning dose of apixaban that day as I was worried about bleeding. My appointment was at 2pm and all went well. I have not noticed any difference between the times since when I have taken I my apixaban as normal or the one time I didn't take it. Now I am content to trust my dentist as she knows if the procedure is going to be difficult and may cause excess bleeding in which case she will advise me to stop taking the apixaban for 24 hours before the procedure. Hope you sort it out and remember to ask for adrenaline free injections.
Ask you GP/ cardio nurses about stopping your medication. All the best and hope everything goes well for you.
Good Morning, I am a retired Pharmacist and you should have no issues. Inform your Dentist who should issue with instructions on what to do if you get a bleed, which is highly unlikely and take your tablets as normal. He need to inform the Dentist of the introduction of Ramipril but it is not relevant to this destruction. Roger
the most important thing is non adrenaline anasthetic. As an ex dental nurse i would take the anticoagulant unless told otherwise. They should always ask about change in medication.
I haven’t stopped taking Edoxaban, when having tooth extractions and I’ve not had any problems with excessive bleeding.They will pack the socket afterwards, which will be sufficient usually. Dentist was quite happy with me taking it. When I was a Dental Nurse, only Warfarin was available then, not the newer anti-coagulants we have now and the Warfarin had to be stopped for 48 hours. The action of that is different to the newer anti-coagulants, I believe.
Most definitely different. I had a tooth taken out some years ago (without prior notice) and was taking warfarin at that time. By the pm, I was spitting clots of blood and had to go back and have it stitched. Quite scary! I just happened to have my INR's taken next day and they were over 7!! So hardly surprising!
Hi, your dentist should know what to do as you can't be the only patient on blood thinners, so should your doc. Dentist should also use non adrenaline anaesthetic. If your dentist is not up to date or doesn't care about patients with AF or heart issues I'd change my dentist.
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Stopping Apixaban before tooth extraction.
Tooth extraction and blood tests 
