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rwj146's avatar
rwj146
Explorer
Sep 23, 2015

Coumadin and Dentistry

I have read several members saying they take Coumadin (Warfarin) so I thought I would relay a recent dental excursion for a simple extraction.

Molar broke exposing a nerve I guess, hurt quite a bit, this on a FRiday evening. I called the VA Telenurse to get advise about stopping the Coumadin until the tooth was pulled. 3 days of not taking it and I should be fine, so I made my appt accordingly.

Just a small side note, my regular dentist had retired so I googled for a clinic near me and low and behold there was one that claimed "Painless Dentistry". Sounded like my kind of Dentist. His ad lied.

He did compliment me on how well my root to this tooth had attached itself to another bone as he he sawed and cut. And drilled. He was standing on a little stepstool to get better leverage and after an hour the last remnant Popped (literally) and he said he was done. Neither he nor his asst. could understand me due to the suction thing in my mouth and more Novacaine than I have ever had. It's good they couldn't.

Now the Coumadin. It took three days for the bleeding to stop. My pillow cases look like I had some kind of ritual on them. At least I know it works. Just be prepared to bleed a little extra before things get back to normal.

And don't trust the Painless Dentists.
  • DH was on coumadin for 12 years. He was required to stop his coumadin 10 DAYS before extractions. He had quite a few because radiation from cancer treatment has ruined his teeth. Always stopped 10 days before and never a problem. No excessive bleeding, etc. He was also on aspirin and stopped it at the same time.

    He now is off coumadin but still takes the aspirin. Had a double extraction last year and stopped his aspirin 10 days ahead. Smooth sailing.

    So next time. . . check with your doctor, but he will probably suggest you stop it 10 days in advance.

    Dale
  • another one to add to the oxymoron list, "painless dentistry". Jim's comment reminds me of years back when I had a molar removed, half way through the dentist said "I should have sent you to an oral surgeon". Not reassuring at all. :)
    bumpy
  • I did tell him about the Coumadin and how long I had stopped taking it but there was no test. A box of gauze he gave me and three more I bought. Thank you for your response Doctor. I am not sure how they balance out the risk of my blood being too thick and me throwing a stroke or bleeding.
  • Sounds like you should have had a clotting test done before the extraction was done. If your clotting time was in the proper range, you should not have experienced that much bleeding. In my book, the primary criticism of the dentist would be that he didn't require the clotting time to be determined before undertaking the surgery. I spent 14 years doing urgent dental care (thousands of extractions) exclusively. I know whereof I speak.

    T. Waugh, DMD
  • Just a side note. If you ever need a tooth extracted in the future, see an oral surgeon, and not a general dentist. It makes a world of difference, and the price is not much different. I know from experience....