Toothache after H/A

[Harrison4]

Hi All,

Had a h/a and angioplasty and stent fitted 10 weeks ago, struggled with meds at first constantly visiting drs to review but getting there

Discovered I also have an over active thyroid since the op dye used also contains iodine

But on top of which I need a tooth extraction does anyone know if there is a limit or have you been through the same thing

Thank you in advance 😊👍🏴󠁧󠁢󠁷󠁬󠁳󠁿

[Sunnie2day]

Interesting you bring up dental work - the last week of April (2019) I sat down in the dentist chair for round2 of a root canal treatment and he put the chair back up telling me to go straight from the chair to the GP - he saw my heartbeat in my neck. Within two hours of leaving his chair I had two resting ecg's and two prescription (Bisoprolol 1.25 and NitroLingual spray) plus an 'urgent' referral to the Rapid Access Chest Pain unit. That RACP appointment led to an echocardiogram which led to a cardiologist appointment for the 18th of June.

My 'trouble' really started about a week after round1 of the root canal treatment and my GP thinks the infection may have gone to my heart. She also thinks my rheumatic heart may have developed into heart failure (yes, well, ok, apparently I've been having angina pain for years I've been able to ignore until now).

So there is a possibility I will be one of the few patients who takes prophylactic antibiotics before invasive dental treatments/procedures. Has anyone on your cardio team said anything to you about that (antibiotics pre-dental work)? I'd look into that if they weren't already talking about it in my case.

[The_Voice]

Had a half-done root canal (tooth was already hollowed out, and a temp filling inserted) that needed to be referred when I had my MI's. Waited for a few months, but it got infected after the temp filling fell out one day while brushing. Tooth started chipping and breaking, and a specialist decided there was no point saving it, so an extraction was necessary.

And here comes the annoying part for people on heart medication - our blood is thinner than water, so no dentist wants us near his chair! If it's urgent, you'll need to get your INR number no later than 48hrs before your appointment. INR basically indicates how quickly your blood will clot. In the case of a tooth extraction, the sudden loss of blood (an extracted molar leaves a huge wound) could cause the body to go into shock, which is very bad for someone with a bad heart.

For the record, on ticagrelor and aspirin 8 months after my MI's, my INR was 1.3 (good enough).