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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Precautions Should Be Taken For Wisdom Tooth Extraction Having A Hairline Crack?

I have Sle, plus CNS complications, and Factor V Leiden[ heterozygous]. Amongst other things I am on Xarelto,as I developed clots. What are the precautions that need to be addressed to have one wisdom tooth out because of a hairline crack. The Dentist feels in should be done with my Medical team , in Hosp, in Sydney. I am a 64 year old woman. 63 kgs
Wed, 20 Aug 2014
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Dentist, Oral and Maxillofacial Surgery,  's  Response
Thanks for your query, I have gone through your query.
Since you are on many medications and systemic illness you need to take lot of precautions.
Regarding SLE, You might have been put on steroids so the doses might have to be altere.
Regarding factor V Leiden, is a hypercoaguability disorder, that might result in blood clot in circulation and cause thromboembolism.
Regarding Xarelto, is a blood thinner, Before extraction of the teeth this drug might have to be stopped after taking physicians consent since the adverse effect of this drug includes bleeding complications, including major bleeding events and fainting.
Consult a good oral maxillofacial surgeon and get the tooth removed. Before that get your complete blood investigations done including BT, CT, and INR.
If the INR is normal then no need to stop xarelto.
The procedure has to be done as less traumatic as possible. You need to take prophylactic antibiotics before the procedures.
I hope my answer will help you, take care.
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What Precautions Should Be Taken For Wisdom Tooth Extraction Having A Hairline Crack?

Thanks for your query, I have gone through your query. Since you are on many medications and systemic illness you need to take lot of precautions. Regarding SLE, You might have been put on steroids so the doses might have to be altere. Regarding factor V Leiden, is a hypercoaguability disorder, that might result in blood clot in circulation and cause thromboembolism. Regarding Xarelto, is a blood thinner, Before extraction of the teeth this drug might have to be stopped after taking physicians consent since the adverse effect of this drug includes bleeding complications, including major bleeding events and fainting. Consult a good oral maxillofacial surgeon and get the tooth removed. Before that get your complete blood investigations done including BT, CT, and INR. If the INR is normal then no need to stop xarelto. The procedure has to be done as less traumatic as possible. You need to take prophylactic antibiotics before the procedures. I hope my answer will help you, take care.