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#196963 - 02/06/11 04:04 PM NSAIDs and wisdom teeth extraction  
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TennisAce Offline
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TennisAce  Offline
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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 04:21 PM Re: NSAIDs and wisdom teeth extraction [Re: TennisAce]  
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holydiver Offline
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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!!!

Gwen


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 04:55 PM Re: NSAIDs and wisdom teeth extraction [Re: holydiver]  
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WhiteCell Offline
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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.


Starting at 18 yrs old > Reiter's Syndrome. Diagnosed 2001 Ank Spon.
Started Remicade 2002 - 5mg/kg every 7 weeks.

Right Eye Glaucoma- Trabeculectomy/lens replacement 2006.
DSEK Cornea Transplant 2009.
Ahmed Shunt 2016.
DSEK Cornea Transplant 2016.
Supra Ventricular Tachycardia. 2004. Cured by RF ablation 2008.

ICU RN - Seattle, WA

~Grasp The Challenge and Succeed~
#196971 - 02/06/11 06:27 PM Re: NSAIDs and wisdom teeth extraction [Re: WhiteCell]  
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taberge Offline
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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 08:16 PM Re: NSAIDs and wisdom teeth extraction [Re: taberge]  
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JenInCincy Offline
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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 09:51 PM Re: NSAIDs and wisdom teeth extraction [Re: JenInCincy]  
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Banana Offline
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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.

Anna


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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