Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: shrosphirelass on March 09, 2019, 12:36:24 PM

Title: HRT and tooth extraction
Post by: shrosphirelass on March 09, 2019, 12:36:24 PM
Hi all,
Haven't been here in a long while. Hope eveyone is doing well. I just wondered if anyone knows about the implication of taking HRT and clotting after tooth extraction. I've read increased oestrogen affects the healing process and increases the chance of dry socket. I reduced my patch to half bt not sure how long to do this for, or if it is necessary. My headaches have increased and my stomach is unsettled, so I'd rather not sray on this regime for too long. Any one know anything about this? Thanks all
Shropsshirelass
Title: Re: HRT and tooth extraction
Post by: CLKD on March 09, 2019, 01:47:54 PM
Nope.  I would ring my Dentist and ask the question.  I know when I had extraction which took 3 dentists on two separate occasions, I couldn't have a top of LA due to the medication I was taking but I don't take HRT.  So the question should be asked.

So without a top up of LA  :-X  :o

R U having toothache?
Title: Re: HRT and tooth extraction
Post by: Taz2 on March 09, 2019, 02:26:39 PM
I'm not sure quite what your question is? Do you mean that you are worried you won't clot or that you will clot? Sorry to be a bit thick!

I've been on HRT for 12 years and have never had any problems with dental work.

Taz x
Title: Re: HRT and tooth extraction
Post by: shrosphirelass on March 09, 2019, 03:23:41 PM
Its harder to clot apparently with increased oestrogen. I'm sure I'm over thinking it, but everything hurts 3 days on and I am getting concerned
Title: Re: HRT and tooth extraction
Post by: Taz2 on March 09, 2019, 03:34:46 PM
I'm not sure that it is less likely to clot as the reason you have to stop HRT before major surgery is because it increases the clotting risk which is also why DVTs are more common when on HRT.

Are you on antibiotics following the extraction? If not you could have an infection in the gum. What advice were you given?

Taz  :hug:
Title: Re: HRT and tooth extraction
Post by: CLKD on March 09, 2019, 03:54:22 PM
Did you not discuss this prior to intervention  :-\. Give your dental surgery a ring in the morning?  In the meantime, if you have indeed had an extraction  :-\ try not to bend forwards!  If by now you aren't bleeding a lot, i.e. pouring with no clotting at all, I wouldn't be too worried.  But your Dentist should have discussed what drugs you are taking ......... mine updates me every visit, which is usually 6-7 months apart.
Title: Re: HRT and tooth extraction
Post by: shrosphirelass on March 09, 2019, 05:48:37 PM
I didn't even think about HRT when I had it out. I'm day 3 days post extraction of a root canal molar which was quite hard to get out. I'm hoping the discomfort I feel is just due to all the bruising rather than an infection or dry socket. It's not agonising, just very uncomfortable. I was on antibiotics prior to the extraction to get rid of the infection but they finished 9 days ago.
Title: Re: HRT and tooth extraction
Post by: CLKD on March 09, 2019, 08:35:01 PM
You have had AB cover so I can't envisage problems other than 'natural' bleeding.  If the pain isn't acute it isn't dry socket.

Has the bleeding eased at all today ? 
Title: Re: HRT and tooth extraction
Post by: Taz2 on March 09, 2019, 08:54:30 PM
Dry socket is usually caused by rinsing the mouth too soon so the blood clot is washed away. Are you bleeding still? I hope you feel better soon.

Taz x
Title: Re: HRT and tooth extraction
Post by: CLKD on March 10, 2019, 08:05:00 AM
Did the steroid ease symptoms Hummdinger?  OUCH!

How's the mouth this morning shropshirelass?
Title: Re: HRT and tooth extraction
Post by: shrosphirelass on March 10, 2019, 09:03:52 PM
Thanks all.

I had a bad night with severe flashes of pain and again this morning. Seems to have settled now and only some sharp twinges, now and then. Don't know what's causing it. My mouth generally is less sore so it's a mystery. I didn't bleed very much after the extraction, bit down on gauze as suggested. I didn't rinse for 24 hours but am doing so gently after evey meal with salt water. Adjacent tooth hurts so maybe its been unsettled. Dry socket would be a continous pain I'm guessing?
Title: Re: HRT and tooth extraction
Post by: CLKD on March 10, 2019, 09:21:42 PM
There is no doubt about dry socket!

There are a lot of nerves along the jaw lines.  Bruising can cause stinging etc..  Take pain relief and rest.
Title: Re: HRT and tooth extraction
Post by: Sarai on March 10, 2019, 09:42:12 PM
I've just had very major surgery, I was ok to stay on my patch, however they said they ask people to stop hrt pills. But mine was a big big op.
Title: Re: HRT and tooth extraction
Post by: Taz2 on March 11, 2019, 12:59:51 PM
I had to stop my patches for one month before my major surgery to help avoid blood clots.

Taz x
Title: Re: HRT and tooth extraction
Post by: Sgtvhilts on March 11, 2019, 04:31:41 PM
Hi
I just had my gallbladder out under general anaesthetic and was not told to stop at all, so I guess for a tooth you should be okay to continue as you'll only be immobile for maybe an hour
Title: Re: HRT and tooth extraction
Post by: shrosphirelass on March 11, 2019, 09:03:09 PM
Dentist said I have a bone infection, but I guess he means dry socket as he cleaned out the socket and placed a medicated dressing there (and no antibiotic) and told me to go back to have it changed on Wednesday. It's so horrible. Might as well go back on the full patch as clearly it didn't prevent it.
Title: Re: HRT and tooth extraction
Post by: CLKD on March 12, 2019, 08:12:29 AM
Bone infection is different to dry socket and he should have explained the difference.  The latter is painful.  Did he take an X-ray to see the depth of the infection?

You had ABs?  Did you discuss HRT whilst there?
Title: Re: HRT and tooth extraction
Post by: shrosphirelass on March 12, 2019, 12:07:43 PM
I was in too much pain to think straight so didn't ask anything. He put a medicated dressing with anaesthetic, which is being changed tomorrow. Said antibiotic wasn't necessary. He didn't do an xray. Still twinging a lot and Ive got a permenet headache, but that might be rebound from the back to back painkillers Ive had for nearly a week.