my mother 72 has lost 2 teeth which are within the visible smile
Q. My mother is 72. She takes approx 2mg of Warfarin daily as she has a mechanical aortic valve. Her INR is extremelly erratic and she has to have blood tests twice weekly as INR can vary from 2 to 4 within a week. She has lost 2 teeth which are within the visible smile (and 2 others to the side of her mouth). She has just had a plastic bridge constructed and is totally dissatisfied with it. It is enormous and is shaped to the roof of her mouth (has 4 attached dentures). She cannot eat or sleep with it and feels sick as she has a constant gagging feeling. She only really needs the 2 teeth replaced. Is there another option? A metal bridge? Teeth rooted into the gum mechanically? Dental implants? Clearly she is not a straight forward case due to the INR fluctuation but any advice or alternative to the current situation would be greatly appreciated. I live in London and she can stay with me for any procedures. Many thanks
A. Hi
The alternatives to replacing teeth are
1. dental implants
2. bridges
The INR should not be of a concern if it is below 3. i have treated many patients with dental implants who take warfarin.
Unfortunately I can not tell you the best option without looking at the mouth.
Regards
Kal

Dr Kalpesh Bohara
The Dental Suite
www.dental-suite.co.uk
Tel: 01509 231144
36 Frederick Street
Loughborough Leicester
LE11 3BJ
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