Dental extraction

Pacemaker 2019. Having tooth extraction next week. Dentist not reassuring. Can anyone confirm this is safe. Logically it is but just wanted to know how other pm patients have managed... thank you in advance. 


3 Comments

Tooth extraction with a pacemaker

by Gemita - 2021-04-17 05:23:53

Brains, we have already confirmed that it is safe.  Please see your earlier post on the same subject, just down the page. Leaving a bad tooth in is potentially likely to cause more trouble especially if any infection reaches your blood stream.  

If you are losing confidence in your dentist, find another dentist or you can ask about having it pulled in a dental hospital?  They can sometimes do this with anxious patients who may need a general anaesthetic or heavy sedation. They can then monitor your blood pressure and pacing to make sure that you stay safe.

With a good dentist, however, you are very safe (see our previous comments), but if you are particularly frightened, I would speak to your general doctor/present dentist and ask for a referral to a dental hospital, or for additional help to get you through the procedure.  But please get that tooth pulled as soon as possible.

What are your main fears that we may not have covered?  If appropriate, have you cleared it with your cardiologist, for example, particularly if you need to stop/continue anticoagulants or any other medication prior to extraction?  I would respectfully ask your dentist to pick up the phone if he is unable to reassure you and speak with your pacemaker team who can give reassurance and what precautions (if any) should be taken prior to extraction with regards to your heart condition/pacemaker/medications.  

I am sure you will be fine.  Good luck

 

Tooth extraction

by AgentX86 - 2021-04-17 18:52:39

Gemita has given you good information (as usual).  Really, if your dentist is concerned about your pacemaker, find another dentist.  It's not a big deal and it's important to take care of this.  If you're on an anticoagulant it becomes a little more complicated but your EP/cardiologist will give instructions.  Follow them. 

I had mine done by an oral surgeon but in a dental office.  I'd highly recommend an oral surgeon over a dentist.  I want someone who does this stuff all the time (as I do all specialists).  It's not so much that a dentist can't do extractions but a good oral sugeon can do it with less pain and a faster recovery.

Facing the dentist

by Gotrhythm - 2021-04-19 13:34:10

First of all. You're not alone in feeling anxious about the dentist. I don't think anyone would look forward to a tooth extraction. Most people would feel  something between a little dread and real anxiety, and some would need a tranquilzer just to be able to walk into the dentist's office. Even if you didn't have a pacemaker, wanting some reassurance would be normal.

In your first post the anxiety seemed to be around anesthesia. Put that to rest. The pacemaker will no more be bothered by anesthesia than your watch will. The operation of your pacemaker  is completely independent of your bloodstream. It will not be affected by anesthesia or any drug or substance which might be traveling through your blood.

Several people replied to your first post that they have had tooth extractions without any problems. I haven't had an extraction, but in the ten years since I got the pacemaker, I've had enough other dental work done, sometimes under anesthesia, to buy a very nice new car. My credit card was wailing, but my pacemaker literally never missed a beat.

I second AgentX's suggestion of getting referral to a dental surgeon--although I know that's easier said than done. Knowing you're in the hands of someome who's thoroughly competent can go a long way in settling anxiety.

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