Before Surgical Treatment

Blood thinners cause excessive bleeding, complicating the procedure and possibly compromising the success we are hoping to attain.  Usually it is necessary to cease their use up to 10 days prior to the date of your appointment.  Please notify us if you are taking any medications, substances or supplements that might affect clotting.  Medicines prescribed by your physician might include:  Warfarin (Coumadin), Jantoven, Clopidogrel (Plavix), Dipyridamole (Persantine), Ticlopidime (Ticlid), Aggrenox or any aspirin-containng products.  Keep in mind that many over-the-counter dietary supplements and pain medicines may contain aspirin products.  The other supplements that are of concern because of their blood thinning properties include:  Vitamin E, Fish Oil, Multivitamins, Folic Acid, St. John’s Wort, Ginkgo Biloba, Garlic, Ginseng, Dong Quai and other items commonly found in health food stores.  We also ask that you do not take Ibuprofen, Advil, Motrin, Aleve, Naproxyn, Voltaren, Excedrin, baby aspirin or any anti-inflammatory medication for 10 days prior to the procedure.  If a physician has ordered these medications for a specific condition please let us know so we may contact them for how long you may stop the medications.

 This procedure will be performed using local anesthesia (“Novocain”).  Please eat a full breakfast or lunch at least an hour before your appointment, as it is advised not to eat after your visit, because of your numbness.  

Wear loose, comfortable clothing.

Continue all medications for blood pressure, diabetes, thyroid problems and any other conditions as recommended by your physician, other than blood thinners, as mentioned above.  If there is a question, please call our office prior to your appointment.

If you have been advised by your physician or dentist to use antibiotic premedication because of mitral valve prolapse (MVP), heart murmur, hip, knee, cardiac or other prosthesis, or if you have rheumatic heart disease, please make sure you are on the appropriate antibiotic on the day of your appointment. If there is a question, please call our office prior to your appointment.

If you normally pre-medicate with an antibiotic before dental treatment, please remember to do so for your endodontic treatment. 

If you have any questions, please call our office at 603-624-9786