Forums › Laser Treatment Tips and Techniques › Soft Tissue Procedures › PATIENTS ON COUMADIN
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ELLIOT ROGOFFSpectatorI HAVE A PATIENT THAT NEEDS SOME CROWN AND BRIDGE WORK. HE IS TAKING COUMADIN AND USUALLY FOR ANY PAST SURGICAL PROCEDURES OR EVEN SOME CROWN AND BRIDGE I WOULD HAVE THE PATIENT STOP TAKING IT FOR A DAY OR TWO BEFORE. OF COURSE I WOULD CALL THE MD FIRST BUT THAT WAS MY SOP. NOW THAT I AM LASER MAN DO I NEED TO DO THE SAME REGIMENT OR CALL I USE MY LASER TO STOP THE HEME. I OWN ALL THREE WAVELENGHTS SO I DO HAVE MANY CHOICES HERE. ANY SUGGESTIONS?
SwpmnSpectatorQUOTEI HAVE A PATIENT THAT NEEDS SOME CROWN AND BRIDGE WORK. HE IS TAKING COUMADIN AND USUALLY FOR ANY PAST SURGICAL PROCEDURES OR EVEN SOME CROWN AND BRIDGE I WOULD HAVE THE PATIENT STOP TAKING IT FOR A DAY OR TWO BEFORE. OF COURSE I WOULD CALL THE MD FIRST BUT THAT WAS MY SOP. NOW THAT I AM LASER MAN DO I NEED TO DO THE SAME REGIMENT OR CALL I USE MY LASER TO STOP THE HEME. I OWN ALL THREE WAVELENGHTS SO I DO HAVE MANY CHOICES HERE. ANY SUGGESTIONS?Elliot:
We do not advise the patient to discontinue anticoagulant therapy when we propose routine tissue retraction for fixed prosthodontic impressions. Never did this before we had lasers either. Always best to confirm your proposal with patient’s physician. In most cases, I believe there are greater risks in removing patients from anticoagulant therapy than there are from leaving patients on the regimen and then performing limited, routine surgery. My experience has shown that with proper consultation and INR rates below 4.0, it is quite safe to extract one or two teeth on patients undergoing anticoagulant therapy.
However, this is an issue that obviously you want to err on the side of caution. Every now and then I have a case that fools me, such as the patient that forgot she was taking coumadin. That’s why I say – IN MOST CASES:biggrin:
Al
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