Quote:
Originally Posted by recycled sixtie
My dentist referred me to an oral surgeon to extract a tooth as it has a lot of filling with the filling being close to the nerve.nApparently it is not a candidate for a root canal. Oral surgeon required a dental medical which I have done because I have atrial fibrillation, high blood pressure and am on blood thinners. They want to know if I can handle being put under with the anaesthetic. There is a risk of a stroke.
So my question is this. Can a tooth be extracted with lots of freezing in the gums? I am thinking that if the tooth breaks apart then it could be traumatic getting the shattered tooth remaining out?
I will likely see the oral surgeon this week. Minimal pain from the tooth. Anybody experienced this and what were the options?
As always thanks for your opinions.
Cheers, Guy
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Good Day Guy,
I’ve been a dentist for 30+ years and taught full time at USC Dental School.
First, I salute your general dentist’s caution and desire to ensure you can withstand the procedure. It is very common to get a MD referral when doing more extensive procedures.
You ask if the teeth can be extracted “with lots of freezing of the gums.” If you mean literally freezing the area for anesthetic I would say no. There were some studies on this but I don’t think they proved effective.
If you mean a lot of local anesthetic (numbing the area and NOT putting you under general anesthesia) . . . .yes that is possible, but can be more stressful for the patient (and doctor.)
If the tooth breaks apart, that is a setback, but oral surgeons are accustomed to this situation and can handle it quite adeptly.
The biggest concern I would say you have is the issue of your blood thinner. Your MD needs to coordinate with the Oral Surgeon so when your tooth is extracted you will be able to get the initial clot. Usually they have you stop the blood thinner a set time before the extraction, and resume taking it a set time after the extraction.
They want you to be calm, relaxed and comfortable for the procedure and have the ability to clot afterwards.
Best of luck to you
Raffi