What hapens to my coumadin therapy if I need dental surgery?

this is for an 84 year old male.

What hapens to my coumadin therapy if I need dental surgery?
I would ask BOTH the doctor who manages the coumadin levels AND the dentist who is planning to do the surgery. Do this far enough in advance of your surgery date so dosages have time to be adjusted if necessary
Reply:Ok, if you are going to have dental work, they will stop any blood thinners you are on (plavix, coumadin, aspirin...ect) 3 days before the dental work. It will be out of your system and the blood flows thicker, so u won't bleed as much.
Reply:You should always speak with your doctor if you are planning on having any surgery. Some dental procedures may require the interruption of your Coumadin therapy. Only your doctor and surgeon can make this decision.





While the INR range for minor oral surgery patients is subjective, local hemostatic measures generally are very effective if the INR is less than 4. No oral surgery, even of a minor nature, should be performed if the INR is greater than 5. For most patients on long-term warfarin sodium therapy, the target INR is 2–3; these patients can be managed safely and effectively in the dental office. The normal INR for a non-anticoagulant patient is 1.
Reply:I agree with kits and kats totally. Do not assume any medication changes and self adjust your medication. It depends hugely on the type of dental surgery too (ie big big holes and cuts in the gum vs wee little root being flicked out)





There are ideals for dental surgery, but then decreasing coumadin may have bad effects on the condition you are taking coumadin.... ie increased risk of clot.





Get your dentist to advise you, as he will have a pretty good idea as to how involved this treatment is going to be. He may like to call your doctor to make sure that stopping it is a safe thing to do.

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