chronic lymphocytic leukemia and tooth extraction

[BART4]

hey i am treated with Zanubrutinib (BGB-3111) and have chronic lymphocytic leukemia. Did someone have a tooth pulled out of you during your illness?

[cllady01 Former Volunteer]

BART, check out the 21 posts that deal with tooth extraction while dealing with CLL.

healthunlocked.com/cllsuppo...

I retrieved these by clicking on POSTS above your post twice--once to open your post to read it, and then to cause to appear: a search box above the column titled RELATED POSTS and I then input TOOTH EXTRACTION-- Voila!

all past posts dealing with that topic!

[Vizilo]

I had a tooth extraction about four months ago as a result of an abscess. I am currently on a similar BTK inhibitor, Acalabrutinib. My dentist gave me antibiotics for a week prior to my extraction. As luck would have it, the, endodontist, who pulled my tooth was very familiar with cll since her father has it. Her advice - to pull it as soon as possible to avoid the infection spreading because of my compromised immunity. Tooth was pulled immediately, abscess went away and my gums healed very quickly

[peghip]

I'm on venetoclax and had a tooth removed. Prior to carrying out the procedure my dentist spoke to my Heamotoligist/oncologist. Who was happy because blood results were good.

[Virosafe2001]

Although I have not yet started Chemotherapy, I had 2 molar teeth extracted "in preparation". I know my immune system is pretty depressed, anyway, and unfortunately one gum sac got infected, and was very painful, so I was put on a week's course of Amoxycillin. 4 weeks later, things are getting better, but progress is slow.

[lankisterguy Volunteer]

Hi BART4,

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Check with your hematologist about bleeding risk on Zanubrutinib. I believe all the BTK inhibitors will make bleeding more problematic, so your doctor may advise pausing Zanu for a few days before and after your extraction.

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See brukinsa.com/hcp/safety

SNIP Monitor for signs and symptoms of bleeding. Discontinue BRUKINSA if intracranial hemorrhage of any grade occurs. Consider the benefit-risk of withholding BRUKINSA for 3-7 days pre- and post-surgery depending upon the type of surgery and the risk of bleeding.

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Len

[chirish]

I did, it was a while ago, the Dentist just needed my platelets to be near 100, and they had just got up in that range. It went great, as far as getting a tooth pullled but no complications.

[onu1tadi2]

Tooth extraction is not as complicated as filling a tooth. I am having two extracted soon, and was told by both my excellent dentist and a specialist that it is quite simple even though I has asthma and cough. I go off acalabrutinib a few days before, as recommendation for surgery for both acalabrutinib and ibrutinib is 3 days before and one or two days after for going back on. I took a holiday of 6 months last time, no remission, but i would not recommend it.