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Hello,

My son Dan needs his 4 wisdom teeth out and we are scheduling this for

the summer hols when he comes home from uni.

Dan has UC and PSC[diag 2003]and is on remicade, imuran and urso. I

have read something about possible clotting problems in surgery for

people with PSC.....the INR levels?? Can someone offer some advice on

precautions we should be alerting the oral surgeon to...because quite

honestly he/she wont have a clue.

Many thanks

Brussels

Dan Uni in UK

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,

I have had two teeth out, and am scheduled to have another out next week.

They are rotting because of the fruit juice I use to mix my Questran with.

Now I know, I brush after the juice, but for 7 months didn't even occur to

worry about it. Anyway, I am currently listed for transplant (although the

status is now on hold again until this tooth extraction heals, about 6

weeks), and my oral surgeon has been in close contact with both the

anesthetist and my liver specialist. We do a full blood count before hand,

and have abx after to prevent infection. In my case, the damage to my liver

is pretty bad, so the consult with the anesthetist is most important. I want

to wake up afterwards.

Good luck,

Penny T (Australia)

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>

> ,

> I have had two teeth out, and am scheduled to have another out next

week.

> They are rotting because of the fruit juice I use to mix my

Questran with.

> Now I know, I brush after the juice, but for 7 months didn't even

occur to

> worry about it. Anyway, I am currently listed for transplant

(although the

> status is now on hold again until this tooth extraction heals,

about 6

> weeks), and my oral surgeon has been in close contact with both the

> anesthetist and my liver specialist. We do a full blood count

before hand,

> and have abx after to prevent infection. In my case, the damage to

my liver

> is pretty bad, so the consult with the anesthetist is most

important. I want

> to wake up afterwards.

> Good luck,

>

> Penny T (Australia)

Thanks Penny.

abx = antibiotics?

In Dan's case it is his CBD that is badly stenosed. MRI shows the

liver is OK thankfully to date.

We will make sure we talk to his hepatologist, GI and oral sugeon

before this happens.

Good luck for your extraction and the liver transplant!!

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I had several teeth xtracted before my tx. The teeth that had root canals and crowns done were all taken out, I learned later that they posed a possible site for infection. I had no problem with the procedure and no extra precautions were taken, not even antibiotics. The transplant center was at a University and since the also have a dental school, the teeth were pulled by dental students. They knew nothing about organ transplant patients when they started, but by the time they were done, I had told them about my disease, and everything I could think of that was pertinent. One of the few consolations of having a rare disease, is the chance to educate. It might be a good idea to make some copies of any good articles about liver disease and dental complications and give them to the dentist before the appointment so your dentist can be up-to-date.

Take Care

MizKit

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