Can Dentures Be Redone Safely for Patients on Blood Thinners?

Patients on anticoagulant therapy may need to undergo dental procedures such as getting dentures?

My mother is taking anticoagulant medication, but recently the gaps in her dentures have been getting larger.
Is it possible to remake her dentures? What are the associated risks? Thank you.

Ke Ke, 20~29 year old female. Ask Date: 2015/12/20

Dr. Zhang Xiangyuan reply Dentistry

Dear netizen,
Based on your description, your mother is taking anticoagulant medication, and recently the gaps in her dentures have widened, prompting consideration for new dentures.
It is recommended that you inform the dentist about your mother's medical condition and the medications she is taking before any treatment.
The dentist should assess the risks and provide recommendations based on the treatment plan and her health status.
Some procedures may require discontinuation of the medication or a consultation with an internist for evaluation.
The dentist will explain and clarify the situation based on the actual circumstances.
Thank you for your inquiry.

Reply Date: 2015/12/20

More Info

When it comes to patients on blood thinners, such as anticoagulants, the decision to redo dentures must be approached with caution. Blood thinners are prescribed to prevent blood clots, which can lead to serious conditions like heart attacks or strokes. However, they also increase the risk of bleeding during and after dental procedures, including the fitting or remaking of dentures.

For your mother, who is experiencing increasing gaps in her dentures, it is essential to consult with her dentist or a prosthodontist (a specialist in dentures and dental prosthetics) before proceeding with any adjustments or remakes. Here are some considerations regarding the safety and risks involved:
1. Bleeding Risk: The primary concern with patients on blood thinners is the increased risk of bleeding. During the process of remaking dentures, there may be minor surgical procedures involved, such as adjustments to the gums or soft tissues. These procedures can lead to excessive bleeding in patients taking anticoagulants. It is crucial for the dental team to be aware of her medication and to take necessary precautions.

2. Medication Management: Depending on the type of anticoagulant your mother is taking, her dentist may recommend a temporary adjustment to her medication regimen. This could involve coordinating with her primary care physician or cardiologist to determine if it is safe to pause or adjust her blood thinner dosage before the procedure. However, any changes to medication should only be made under medical supervision.

3. Preoperative Assessment: Before any dental procedure, a thorough assessment is necessary. The dentist should evaluate her overall health, the condition of her gums, and the fit of her current dentures. If there are signs of gum disease or other oral health issues, these should be addressed prior to remaking the dentures.

4. Postoperative Care: After the dentures are remade, careful postoperative care is essential. The dentist may provide specific instructions on how to manage any bleeding or discomfort. It is also important to monitor for signs of infection or complications, especially since patients on blood thinners may have a different healing response.

5. Alternative Options: If the risks associated with remaking dentures are deemed too high, the dentist may suggest alternative solutions. For example, relining the existing dentures to improve the fit without the need for a complete remake could be a viable option. This process involves adding material to the base of the dentures to better conform to the shape of the gums.

6. Communication with Healthcare Providers: It is vital for your mother to communicate openly with her healthcare providers about her dental needs and any concerns regarding her anticoagulant therapy. A collaborative approach involving her dentist and physician can help ensure her safety during dental procedures.

In conclusion, while it is possible for patients on blood thinners to have their dentures redone, it requires careful planning and coordination between dental and medical professionals. The risks can be managed effectively with proper precautions, but it is essential to prioritize safety and follow the guidance of healthcare providers. If your mother is considering this procedure, I recommend scheduling a consultation with her dentist to discuss her specific situation and the best course of action.

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