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#196963 - 02/06/11 11:04 AM NSAIDs and wisdom teeth extraction
TennisAce Offline
Registered Visitor

Registered: 09/19/05
Posts: 1317
Loc: NJ
My daughter needs to have her imbedded wisdom teeth out right after finals at college. She needs to work the summer for money, so we need to do it in the beginning

We didn't get an appt set up over Christmasbreak, so what the nurse is suggesting they have done for other patients is a Monday appt for consult and insurance and a Friday extration. Fine, but she is on pretty max dose of NSAIDs. Do I have to worry about bleeding and discontinuing the NSAIDs? Anyone know?

Nurse didn't, and emailed the Rhumy.
Daughter diagnosed 2004; son diagnosed 2006. Both are currently without spondy meds and currently in a medicine induced remissions. One has been pharma free for 3 years; the other one for 2 years.

#196964 - 02/06/11 11:21 AM Re: NSAIDs and wisdom teeth extraction [Re: TennisAce]
holydiver Offline
Registered Visitor

Registered: 09/23/10
Posts: 71
Loc: FL
Hi TA!

What we do with our patients (surgical dentistry) is discontinue ASA one week prior. We usually leave the NSAIDS alone and warn the patients that they may seep a little more than one who doesn't take the NSAIDS. We also put our patients on a medrol 4 mg dosepack- if they want to pull her off the nsaids maybe she could start taking a medrol pack a day prior to her extractions? She should be fine either way... she has youth on her side!!!

Ankylosing Spondylitis Dx Nov. 2010, HLA-B27+, ANA+ Dx @ Age 35; Meloxicam 8 months: switched to Nabumetone May 2011, tramadol prn, Enbrel Nov 2011.

#196966 - 02/06/11 11:55 AM Re: NSAIDs and wisdom teeth extraction [Re: holydiver]
WhiteCell Offline
Registered Visitor

Registered: 05/31/10
Posts: 1303
Loc: Whidbey Island WA
If she is comfortable on her current medication and there is no contraindication then staying on her current pain medication will go a long way to help her recover comfortably IMO. Sometimes vicodin will also be prescribed and typically does well with dental pain.
Since 18 years old - began as Reiter's Syndrome. Diagnosed with Ank Spon 2001. Remicade since 2002 - 5mg/kg every 7 weeks. 8 hour Tylenol and hot tubs for pain.

Severe Right Eye Glaucoma-
Trabeculectomy/lens replacement 2006.
DSEK Cornea Transplant October, 2009.
Ahmed Shunt June, 2016.
DSEK Cornea Transplant, November, 2016.

Supra Ventricular Tachycardia. 2004.
Cured by RF ablation 2006.
Cardizem 240 CD.

ICU RN Seattle, WA

~Grasp The Challenge and Succeed~

#196971 - 02/06/11 01:27 PM Re: NSAIDs and wisdom teeth extraction [Re: WhiteCell]
taberge Offline
Registered Visitor

Registered: 05/25/09
Posts: 483
Loc: Sulphur,La. USA
I had an implant surgically inserted to replace a lost tooth. I had strict instructions to discontinue the NSAID one week before having the procedure done.

#196977 - 02/06/11 03:16 PM Re: NSAIDs and wisdom teeth extraction [Re: taberge]
JenInCincy Offline
Registered Visitor

Registered: 05/19/08
Posts: 13279
Loc: Cincinnati, OH
She needs to ask the dentist who will be doing the extractions.
Jen, 42, happy partner of James and Moma to Evan, 14, & Lucy, 12.5 (Crohn's dx @ age 3; on Remicade since April 2010.) I take piroxicam, Flexeril, & Nucynta ER nightly. 3 anti-TNFs didn't pan out for me.

"Science is the father of knowledge, but opinion breeds ignorance." -- Hippocrates

#196988 - 02/06/11 04:51 PM Re: NSAIDs and wisdom teeth extraction [Re: JenInCincy]
Banana Offline
Registered Visitor

Registered: 07/23/06
Posts: 6478
Loc: New York
Yes, I was told to stop NSAIDS 7 days before extraction. NSAIDs cause bleeding which you want to prevent. If you want to do the Monday=Friday thing, stop the NSAIDS Sat just in case.

Actema IV once a month (with pre loading for allergic reaction), Cymbalta x1 daily, Arava 20mg daily. Diagnosed with AS in 2004, suffered undiagnosed since 1982.


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