Tooth extraction

I have to have a tooth extraction next week. I am not a fan of dentists anyway. I asked the dentist whether the anaesthetic and procedure would interfere with my pm. He said "should be ok". Any ideas from anyone else.? Thanks all 


5 Comments

Not a problem

by Theknotguy - 2021-04-15 07:56:31

Have had several teeth worked on post pacemaker.  Mostly removal of old fillings and implant of new plastic type.  No problems.

They've even worked out better ways of numbing the area.  They use a numbing cream first which makes sure you don't feel the needle.  Used to use novocane but now they've got better stuff so you even feel less.  

Hope everything goes well.  
 

WILL be ok

by Tracey_E - 2021-04-15 08:34:32

The only thing we need to be cautious of is cauterizing. Also, some dentists won't do any type of sedation in the office on us, only a local. Neither should come up with an extraction. 

Extraction

by AgentX86 - 2021-04-15 09:09:37

Before any surgery you really need to clear it with your cardiologist/EP.  He  may give instructions to the oral surgeon.  This really is important and there is no way we can tell you what to do. Every case is different. 

My oral surgeon wouldn't even touch me until I was cleared by my cardiologist.  In my case, my cardiologist didn't even want me to stop my anticoagulant.  He said it wouldn't be an issue and there would be less risk with it than without.  Because of the PM, my oral surgeon refused a general anesthetic but did use gas.  The gas was really weird.  Not sure I liked it but I sure didn't care at the time.  That was all I felt too - weird.

If you are anxious and an arrhythmia sufferer ?

by Gemita - 2021-04-15 09:44:40

maybe ask your cardiologist whether an extra, low dose beta blocker might help before the extraction?  I usually take a bit extra otherwise my arrhythmias can hit pretty quickly, even following a local anaesthetic, and you don't want to be in the dental chair in a middle of an extraction when your heart suddenly takes off.  Otherwise I have never experienced a problem with my pacemaker when I am at the dentist.

If you have to have scaling done, my UK dentist will only use hand instruments because of my pacemaker.  

Good luck for the extraction and I hope your other teeth are sound and you won't need any further treatment.

Anticoagulation

by Julros - 2021-04-15 22:26:17

Just in case you are on an anticoagulant, I would check with your cardiololgist/EP about holding it. I got a filling last year and I trusted the dentist to have looked at my routine meds. It took forever to stop the bleeding. Next time I will check with cards myself. 

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