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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Complications Involved In Getting Tooth Extracted In Old Age?

My 84 year old mother needs to have a tooth extracted. It s one of her molars and it s loose. No infection, just normal loosening of the teeth because of her age. Dentist says it s a simple extraction but wants a medical clearance from her doctor before doing the procedure. She s currently on 3 mgs of Warfarin/day and has been for the past 5 months after suffering a DVT after 2 kidney stone procedures. She was seeing a hematologist previously but is now having her primary doctor monitor her INR. Last reading, 2 weeks ago, was 2.6. Her doctor told her to stop taking it for 5 days before the extraction. Is this OK? My daughter, who worked for a hemotologist previously said she should also have shots (stomach) while she s off. Please help...I m not sure what to do.
posted on Thu, 13 Mar 2014
Twitter Sat, 2 Aug 2014 Answered on
Twitter Tue, 5 Aug 2014 Last reviewed on
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Dentist, Oral and Maxillofacial Surgery,  's  Response
Thanks for your query, I have gone through your query.
The extraction can be done since the INR is 2.5, since the tooth is mobile it comes under minor surgical procedure. Take an opinion from the cardiac physician to stop warfarin. The purpose of stopping the warfarin is to control bleeding while extracting the tooth.But since it is a minor procedure we can do without stopping the drug. You need to take a prophylactic antibiotics. If you want to stop and get the tooth removed, you should get a physicians consent.
I hope my answer will help you, take care.
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Dentist,  Dr. Dr. Rohit S Menon's  Response
hello...read thru ur query..INR 2.6 is good to have an extraction..inr above 1.5 is ok for extraction.so its completely fine for ur mom to get it extracted...but she may have to take antibiotics and analgesics after that..also has to take ranitidine for gastritis occuring due to the antibiotics...be cool..its perfectly allright..have a healthy day!!!
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What Are The Complications Involved In Getting Tooth Extracted In Old Age?

Thanks for your query, I have gone through your query. The extraction can be done since the INR is 2.5, since the tooth is mobile it comes under minor surgical procedure. Take an opinion from the cardiac physician to stop warfarin. The purpose of stopping the warfarin is to control bleeding while extracting the tooth.But since it is a minor procedure we can do without stopping the drug. You need to take a prophylactic antibiotics. If you want to stop and get the tooth removed, you should get a physicians consent. I hope my answer will help you, take care.