Dental Crown to be set

[cirrider]

Probably been answered before, but what about pre-med for just having a new crown set? I did pre-med for the prep work etc. Now the Dentist wants me to pre-med before he "glues" it on!! Don't think I've done that before, but this is a new dentist. He is very good, but not too educated on Anti-Coag issues. Any thoughts? Thanks

 

[epstns]

If the pre-medication is simply antibiotics prior to the dental visit, I would tend to agree with the dentist. He may need to probe and do some adjustment work at or below the gumline, which could lead to bleeding and/or related issues. He is just being cautious and preparing "just in case." I guess I'd rather be over-cautious than under cautious.

 

[kfay]

I've had 3 crowns set in the 2 years since my valve replacement and did not take a pre-med before I went to have it set. I did however, take when when I was having the prep work for the crowns. When he set it, he literally just put it on, checked my bite and then glued it on...no big deal.

 

[tobagotwo]

The premeds have no relationship to ACT. They are intended to prevent infective endocarditis, although research has shown that they don't work for that purpose.

They are only to be used in siruations where there is to be blood spilled (the gum is cut significantly), which includes things like cleanings. If he spills enough blood to require premedication while gluing on your new crown, I'd advise getting a new dentist.

Information:
http://www.ada.org/2583.aspx
https://www.ada.org/3146.aspx
http://www.ada.org/sections/scienceAndResearch/pdfs/patient_75.pdf

ADA/AHA Policy Wallet card:
http://www.americanheart.org/presenter.jhtml?identifier=3003000/

Best wishes,

 

[olefin]

I premed before ALL dental procedures. I wouldn't use a dentist that didn't agree.
My "research" shows premed has worked for me for almost 19 years.

 

[wxman]

My thought is why take a chance with a serious problem that can be eliminated by the minor inconvenience of taking a couple pills.

 

[Maryka]

I premed all of the time, despite the mixed messages from my dentists. Recently my wisdom tooth broke and ultimately had to be extracted on the spot. (I did not come off the anticoagulant, obviosly, but it worked out fine.) I had premedicated before I went into the appointment and the young dentist (after confering with the more experienced dentist) said, "I don't suppose you took your antibiotics." I raised my eyebrows and told him "I always take my antibiotics before I come here, despite what you tell me to do."

However others may feel about premedication, everything worked out fine from this surprise extraction.

 

[Johan]

I had a crown fitted just this week. Took antibiotic premeds last week during the preparatory work and on leaving the house for the fitment this week took the antbiotics again on the basis of rather be safe than sorry.

Just as well as the dentist had to manipulate the gumline to get the crown to fit properly causing quite a bit of bleeding..

 

[cirrider]

Thanks everybody. Since my original Endocarditis was probably from dental work, it does make sense to take the antibiotics just to be safe. Got my prescription refilled and will take them on Monday before the appointment. Thanks again.

 

[Jkm7]

My surgeon, cardio, PCP and dentist all agree everytime I go to the dentist for any reason, I am to pre-medicate and that is what I do. I will not go without doing so. A dentist's tool can slip, the wing x-ray material they put in your mouth can nick the gum etc Why take a risk?