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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Painful Broken Tooth

Have a broken tooth and is causing a lot of pain, because I am on coumadine for cardiac reason I have to be off of it for 4 days before they will remove tooth, what is the best thing to take for the pain? to get me thru till they can pull it 4 days from now. I am a wimp and have zero pain tolorence.
Wed, 17 Sep 2014
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Dentist, Oral and Maxillofacial Surgery,  's  Response
Thanks for your query, I have gone through your query.
The pain in the broken tooth can be because of the infection in the rot tip or movement of the fractured tooth fragment while chewing.
Since you are cardiac patient and you are on blood thinner drugs, you need to consult a cardiac physician and get a consent to proceed with extraction.
If i am your treating doctor, I would have suggested you to get a complete blood investiggation like BT, CT, PT, including INR. If the INR is normal then you can get the tooth removed without stopping the coumadine.
Meanwhile you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic) and analgesics like paracetamol for the pain.
I hope my answer will help you, take care.
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Suggest Treatment For Painful Broken Tooth

Thanks for your query, I have gone through your query. The pain in the broken tooth can be because of the infection in the rot tip or movement of the fractured tooth fragment while chewing. Since you are cardiac patient and you are on blood thinner drugs, you need to consult a cardiac physician and get a consent to proceed with extraction. If i am your treating doctor, I would have suggested you to get a complete blood investiggation like BT, CT, PT, including INR. If the INR is normal then you can get the tooth removed without stopping the coumadine. Meanwhile you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic) and analgesics like paracetamol for the pain. I hope my answer will help you, take care.