Tooth extraction

[Justjudes3824]

Has anyone taking ADCAL have a tooth extraction if so how was it Thanks

[PMRpro]

I had a wisdom tooth out a couple of years ago - I've been taking the equivalent of AdCal for about 7 years. No problems at all. 

Why are you worried about AdCal? It is just a supplement. There are other medications that are more likely to lead to problems.

[shella in reply to PMRpro]

I may have tooth removed or post and crown if we can save it ....am on steroids low dose - should I double dose if extraction necessary or for any deep work? 

[PMRpro in reply to shella]

I didn't - but docs and dentists here in Italy are very blase about such stuff! It really depends on their preference so ask the dentist. I've just had an old filling removed from a tooth where part had broken off and a ceramic inlay made. Brilliant result (wanted to be at the price). 

[Justjudes3824 in reply to PMRpro]

Thanks PMRPro I am worried as my dentist said she would take it out but it would take a long time to heal I thought it was just a vitamin tablet but she told me it contains alendronic acid and that's why I am worried Thanks for your reply I feel better about it already. I don't know why my photo is sideways 😀

[PMRpro in reply to Justjudes3824]

She really should get her facts right and do tell her so. AdCal is calcium carbonate plus vitamin D3. It does NOT contain alendronic acid. Bisphosphates are a totally different kettle of fish - that's why I asked. Are you on alendronic acid or any other "bone protection" stuff? I don't class AdCal as that - though technically I suppose it is.

[Justjudes3824 in reply to PMRpro]

Thanks so much I am not on any other bone drugs I did think I was just taking a supplement but when she said it would be difficult to do an extraction I was really worried You have put my mind at rest thanks 

[PMRpro in reply to Justjudes3824]

It is possible you MAY bleed a bit more - I didn't and I'm also on warfarin. It is possible you MAY take a bit longer to heal - I didn't but the socket seemed to take quite a while to "fill in" if you see what I mean.

But honestly - where DO they come up with these ideas? If I'm not sure I look it up - I assume she has a copy of MIMS or BNF? Which is more than I do - but these days you don't need them, the original data sheets are on the internet.

[Justjudes3824 in reply to PMRpro]

I am on Warfarin as well so I know it may bleed a bit more than usual but I can handle that it's just the look on her face he she realised I was taking ADCAL !! I looked  it up on that net and couldn't  find any mention of alendronic acid but thought she must know what she was talking about  I guess she didn't I will put her right when I next visit her. 

[shella]

Thanks for that - will ask my new dentist - he just may have heard of Vasculitis! Yes saving teeth is rather costly - but rather that than visions of a glass by the bedside! Lucky to be in Italy think the climate is slightly better there than here.  How are the doctors? 

[PMRpro in reply to shella]

Generally the climate is better - though I live in the mountains and we are facing snow in the next few days - but then, so are you I suppose!

The doctors? Depends. I can see a GP same day when I need it. If it is needed I can see a hospital doctor fairly quickly (couple of weeks if really necessary) but budgets are also stretched here and it is difficult to get German-speaking ones - needed here as it is a German-speaking autonomous region. All it really means is hilarious appointments for me where the doctor speaks Italian and English, a nurse interpreter speaks German and Italian and I understand Italian fairly well but don't speak a lot, speak German well and English perfectly (obviously). We get by. And they are quite good at lateral thinking I think - certainly better than in the UK and they use a lot of what in the UK would be considered complementary therapies. They seem to work.

[shella]

Oh my goodness sounds a bit comical but as long as it all works!  I have always believed in complimentary medicine so try to use or take alongside the normal stuff.  

[PMRpro in reply to shella]

If it removes some of the pain - who cares whether it is "real" or not. I'll try most things once - not the really woo stuff though. If it helps - I'll use it again, if it doesn't, I won't.

Homeopathy I do use sometimes - for example I have no idea how it CAN work but arnica both as a cream and globules works wonders with bruising. My flatmate at Uni, a traditionally qualified doctor, later trained in homeopathy. Her husband, a VERY sceptical civil engineer, swore by it for some things.

[Doghouse]

If you are having a tooth extracted and you take warfarin you should have a blood test for your INR the day before. It should be at certain level you will need to check with your dentist. Hope they can save the tooth . 

[PMRpro in reply to Doghouse]

It depends on the dentist and also the range you are meant to be in. I didn't need to have mine checked, range is 2-3. For the things for which you need a range that is higher it is a bit different and I imagine that is something they would prefer to deal with in hospital.

[Justjudes3824 in reply to PMRpro]

I am usually 2.4 my range is 2.5 - 3.0 but would have a test before having a tooth out Thanks for your reply 

[Doghouse in reply to PMRpro]

I have worked in a dentist for the last 9 years and all the dentist  who have worked there ask the patient to have a INR check before extraction.  Best to be on the safe side, if it was me I would have mine checked.

[Justjudes3824 in reply to Doghouse]

Thanks Doghouse I will be sure to have INR test the day before 

[nannysaurus]

No problems at all!!!! The pred caused my teeth to go bad I am just glad the ad cal helped to minimise the amount of problems I had!!!! It's only like taking a dietary supplement to stop pred from weakening our teeth and bones. It's not a med as such. Has someone worried you about it?? Don't put up with toothache!!!! We put up with enough 😀😀😀

[Justjudes3824 in reply to nannysaurus]

Thanks you have all been so helpful I was worried as the Dentist thinks ADCAL is Alendronic acid. I will put her right when I see her 

[Alpsy]

I'm loosing a tooth in 2 weeks due to an infection and my Dentist has told me to just do things as normal. He is giving me plenty of pain relief and it should take about 20 minutes. I'm on Adcal and Alendronic Acid as I'm border line Ostrperosis. I think with drugs that we all take dampening our immune system all healing takes a little longer or a lot longer I would just be prepared for both that's what I'm doing any way. Good luck for both of us! 😀😀😀

[Justjudes3824 in reply to Alpsy]

Thanks and good luck to you let me know how you get on. 

[Alpsy in reply to Justjudes3824]

Will do! It's at the back so not bothered really. He did give me the option of root canal ect but I've been through that on my tooth next to the one I'm loosing and it's not worth the hassle, pain and money to be honest! I'll let u know how I get on though here hoping! 😬😬🔫🔫😂😂😂

[Justjudes3824 in reply to Alpsy]

👍 Thanks

[Alpsy in reply to Justjudes3824]

Hi it's me again with 1 less tooth! LOL! All went ok and didn't feel a thing, mind I did tell him to give me extra Anaesthetic ha ha! So no problems to report really just a bit of a headache the day after and a bit pain understandably but really pleased. There is a bit of the tooth left in only because it snapped off and he said if it give me an hassle I will have to be referred to the Dental Hospital to get it out, but I'm getting no hassle so I'm leaving it alone. Hope this is helpful xxxx

[Justjudes3824 in reply to Alpsy]

Glad it all went well Alpsy. I don't feel so anxious now if I have to have mine out in the near future Thanks hope it all heals up ok

[Alpsy in reply to Justjudes3824]

No worries! Hope yours goes well too wen or if u hav to hav it out. Take care xx

[shella]

Excuse my ignorance but don't know anything about the INR test or the ranges?     can someone fill me in please.......🤔

[Justjudes3824 in reply to shella]

You only need to worry about INR tests if you are taking Warfarin so no worries hopefully for you 

[shella in reply to Justjudes3824]

Ahh ok thank you .... one less thing to worry about .....

[Justjudes3824 in reply to shella]

👍 

[PMRpro in reply to shella]

Sheila, For your interest: INR is International normalised ratio, otherwise known as prothrombin or clotting time - a measure of how quickly your blood will clot. If you take warfarin it will take much longer to clot and if the figure goes too high you could bleed very badly. So really if you are having anything done that might cause you to bleed you should know what it is beforehand. Usually it is just checked monthly or 3 monthly and they hope for the best inbetween - at least, that is the conclusion I've come to after a couple of months where mine has been EVERYWHERE! If it had been checked on some days it would have looked perfect - 2 days later either too high or too low!

[Justjudes3824 in reply to PMRpro]

Hi PMRpro I think your post is mint for Shelia somehow she seems to have got muddled up with my post. I know about Warfarin I have been on it for sometime and will be sure to have a INR test  before having my tooth out Thanks for all your help 

[PMRpro in reply to Justjudes3824]

If you look at the width of the response box you'll see it is wider than yours or this one. I clicked on reply to Sheila - the response then goes to the bottom of a mixed bag. I swear, this forum is the most user-unfriendly one I have EVER used - it is so confusing!

But I've added her name to it now...

[Justjudes3824 in reply to PMRpro]

I know what you mean I'm sure Shelia will have got the posts as well Thanks 

[shella]

Will take Arnica it has definitely helped with any bruising....