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Warfarin User, Have Infection Under Tooth. Should I Come Of Warfarin In Anticipation Of This?

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Posted on Thu, 13 Jun 2013
Question: I am a warfarin user (3,4 alternating). I am on holiday but am suffering from an infection under a tooth . When I return home on Wednresday I will go to a dentist for a possible extraction otherwise treatment by antibiotic. Should I come of my warfarin in anticipation of this?
doctor
Answered by Dr. Dr. Ivan Romich (54 minutes later)
Hi and welcome to XXXXXXX Thank you for your query.

There are still some debates about this problem but today it is advisable for patients to continue with the Warfarin before most dental procedures including tooth extraction. The reason is that if the Warfarin is stopped for few days prior to any surgical procedure the risk of getting a thrombosis greatly outweighs the risk of excessive bleeding following the surgical procedure. So the incidence of significant bleeding in warfarin patients during the extraction is actually minor and this shouldnt concern you. Also, extraction might not be necessary at all.

I hope I ve answered your questions, but if you have any doubts consult your dentist about this. If you have any more question I ll be glad to help.

Wish you good health.
Above answer was peer-reviewed by : Dr. Shanthi.E
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Follow up: Dr. Dr. Ivan Romich (22 hours later)
Dear Doctor,
Thank you for your advice. I shall continue to take warfarin pending the dental procedure.
Kind regards,
XXXXXX
doctor
Answered by Dr. Dr. Ivan Romich (8 hours later)
You are welcome. Just continue with warfarin with no fear. Wish you good recovery.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by : Dr. Shanthi.E
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Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13886 Questions

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Warfarin User, Have Infection Under Tooth. Should I Come Of Warfarin In Anticipation Of This?

Hi and welcome to XXXXXXX Thank you for your query.

There are still some debates about this problem but today it is advisable for patients to continue with the Warfarin before most dental procedures including tooth extraction. The reason is that if the Warfarin is stopped for few days prior to any surgical procedure the risk of getting a thrombosis greatly outweighs the risk of excessive bleeding following the surgical procedure. So the incidence of significant bleeding in warfarin patients during the extraction is actually minor and this shouldnt concern you. Also, extraction might not be necessary at all.

I hope I ve answered your questions, but if you have any doubts consult your dentist about this. If you have any more question I ll be glad to help.

Wish you good health.