Dental work before surgery

Posted by partyon @partyon, Dec 27, 2023

I'm 6 plus week out before aortic aneurysm repair surgery was wondering anybody been told how far out before surgery can I have a cracked tooth pulled? Cannot talk to my dentist until next week so just wondering

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I would check with your surgeon, but they would probably want anything like that done prior. I had a friend who was having bypass surgery and they made her get one of her teeth pulled before they would do the surgery. Prayers and well wishes.

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@loribmt

Hi @deedth64. Oop, I guess I misunderstood. I thought you had surgery coming up relatively soon. Then you do have some time to work through your dental decisions. I can understand the hesitancy with the implants relative to cost, length of procedures and stress. There are other options to replace your current bridge besides the implant…with pros and cons to each of them, including the implants. So if you need a sounding board to help make an informed decision just let me know. I’ve had 30+ years in the dental field.

It will be good to get your Cardiologist’s take on this. ☺️

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I had a double root canal on 1/20/25 took 3.5 hours but some time during was spent on x-rays and the dentist being called away for a few mins. Anyway it went well he took my BP prior to the procedure and it was normal he did give me nonvaccine so I didn't feel anything. Honestly I wasn't nervous. I took my BP once I got home and again it was normal. My Cardiologist said if the BP and Cholesterol are within range then the dilation should not grow. He said both are good so he doesn't see this dilation growing . I do have a 2D Echo done every year just had one in December and all looked good. I am having another CT scan done in August he said if it still looks good then he's calling me stable and then we'll just go with the Echo each year and do the CT scan every two. He also said that for his patients who do not have stable BP they need to be monitored more often. I do feel much less anxious since my original finding in December of 2023. This group helps and a lot of research online helps as well.

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@deedth64

I had a double root canal on 1/20/25 took 3.5 hours but some time during was spent on x-rays and the dentist being called away for a few mins. Anyway it went well he took my BP prior to the procedure and it was normal he did give me nonvaccine so I didn't feel anything. Honestly I wasn't nervous. I took my BP once I got home and again it was normal. My Cardiologist said if the BP and Cholesterol are within range then the dilation should not grow. He said both are good so he doesn't see this dilation growing . I do have a 2D Echo done every year just had one in December and all looked good. I am having another CT scan done in August he said if it still looks good then he's calling me stable and then we'll just go with the Echo each year and do the CT scan every two. He also said that for his patients who do not have stable BP they need to be monitored more often. I do feel much less anxious since my original finding in December of 2023. This group helps and a lot of research online helps as well.

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It’s great news that you could go ahead with your dental work and your BP was under control the entire time! It was a long appointment but I’m sure that’s a relief to have the RCT out of the way. It’s also really encouraging that your aneurysm is stable!
Did you opt for a removable appliance instead of having an implant?

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@loribmt

It’s great news that you could go ahead with your dental work and your BP was under control the entire time! It was a long appointment but I’m sure that’s a relief to have the RCT out of the way. It’s also really encouraging that your aneurysm is stable!
Did you opt for a removable appliance instead of having an implant?

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No I didn't go for the implants. Insurance didn't cover a lot I opted for two caps and it still was over $1600 I am glad it's behind me now. I guess with the aortic issue life is now different each new medical procedure has to be considered carefully

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@moonboy

Sure. A simple dental cleaning is generally considered safe for individuals with an aortic aneurysm, but it’s always best to check with your cardiologist or surgeon beforehand. The primary concerns are infection risk and potential blood pressure fluctuations during the procedure. If you’re on blood thinners, there may be a slightly increased risk of bleeding. Some doctors recommend antibiotics before dental work if there’s concern about infection affecting the heart or aortic repair. Always consult your medical team for guidance. Peace.

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Just as an adder, I know from personal experience that normal dental cleaning is safe for aneurysms, but not necessarily for those with BAVs, I know its not the same thing but it is not uncommon to have both (like me, and I have read multiple cases in this forum, it is known BAVs make people more prone to developing aneurysms). BAVs are very susceptible to infections and I have been instructed by my cardiologist to have antibiotics before every dental cleaning. I have been fortunate I have never needed mayor dental work, never had a cavity, but my dentist gives me a prescription for antibiotics which I have to take 1 hr before every visit, it is well known among Dentists too

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