I have had a quadruple heart bypass, and my teeth

Q. Hello Dr Caplan. I have had a quadruple heart bypass, and my teeth are petty bad to be honest. They are super sensitive to hot and cold, the upper left molars are all gone. I have only one molar on the upper right, and the bottom front gum has shrunk right down to the bottom of my mouth. the remaining teeth have numerous fillings and I have just had yet another abscess under my last molar. I would love to have them all removed and have a set of dentures, but, I’m very worried about having them all removed at the same time, because of the ‘Bypass’ Would it be better to go ask my own local Dentist or would it be better to go to the University Hospital of Wales Dental dept. Would they even take them out? I’m so fed up of being in pain and having to watch every single thing I put in my mouth. Thank you. Yours Sincerely. Patricia Parker.

A. It is likely you are on warfarin.  This can cause a serious problem with bleeding. Your cardiologists should be asked for their opinion before you decide which route to take.  Your INR level will have to be at the correct level before you can have your teeth removed.

Dr Julian Caplan
Aviva Cosmetic Dentistry
Director on the board of the British Academy of Cosmetic Dentistry
www.avivacosmeticdentistry.co.uk
101 St. Peters Street
St. Albans Hertfordshire
AL1 3EN

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