dental question

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iMarzz
Regular Member


Date Joined Apr 2006
Total Posts : 103
   Posted 7/19/2007 9:50 AM (GMT -7)   
Hi All,
 
Do any of you know if we need to take any antibiotics or anything before a dental visit while on Methotrexate?  I haven't heard that we do.
 
Thanks,
Mary

Ducky
Veteran Member


Date Joined Mar 2005
Total Posts : 3199
   Posted 7/20/2007 4:55 AM (GMT -7)   
Hey Mary.. I haven't heard that either.. hhmm.. I'm not on MTX though.. What type of dental visit? Just a regular check up?
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iMarzz
Regular Member


Date Joined Apr 2006
Total Posts : 103
   Posted 7/20/2007 7:01 AM (GMT -7)   
Yeah, check-up, cleaning and I broke a tooth.

My son has a congenital heart defect so needs to be pre-medicated with antibiotics. I didn't know if immune suppressed also needed this kind of protection.

Mary

jennscraps
New Member


Date Joined Jul 2007
Total Posts : 2
   Posted 7/20/2007 10:14 AM (GMT -7)   
You should double check with your Rheumotologist. I was told to let him know when my daughter is having dental work that requires medication and to also let the Dentist know.

iMarzz
Regular Member


Date Joined Apr 2006
Total Posts : 103
   Posted 7/20/2007 11:06 AM (GMT -7)   
Thanks. I guess that's the safest bet - of course my Rheumy appt is the day after the dentist so I'll have to call.

Mary

starrnr
Veteran Member


Date Joined Dec 2005
Total Posts : 1782
   Posted 7/20/2007 7:13 PM (GMT -7)   
Also, make sure your dentist knows you're on MTX (and knows what it is) - there are some antibiotics that are not to be taken at the same time. Very very important.
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Remicade every 6 weeks, Methotrexate weekly, Folic Acid daily


Ducky
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Date Joined Mar 2005
Total Posts : 3199
   Posted 7/23/2007 4:30 PM (GMT -7)   
Hey Mary, did you talk to the dentist? I have never had to have any type of meds prior to my dental visits (cleanings/x-rays) But I've never had any type of dental surgery since I have been on the biologics either.. Have you had your appts yet?
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs
Current Meds -  Enbrel/Prevacid/Synthroid/Nitrofurantoin
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots
Additional Supplements - Multi-Vitamin/Bromelian/Acidophilus/Green Tea
 


iMarzz
Regular Member


Date Joined Apr 2006
Total Posts : 103
   Posted 7/24/2007 11:03 AM (GMT -7)   
Haven't gone yet - I'll keep you posted.

Mary

Frayda
Regular Member


Date Joined Aug 2003
Total Posts : 248
   Posted 7/24/2007 4:39 PM (GMT -7)   
Hi! I am a dental hygienist and my husband is an oral surgeon; there is no need to pre-medicate for routine dental work for mtx. I have been on mtx for over 12 years. I have had several surgeries over the past several years for different things, and each time I was told to stop the mtx for 2 weeks prior to surgery because it can interfere with healing. Depending on the invasive nature of the procedure, that might pertain to oral surgery as well. Your dentist should check with your rheumatologist if you are having dental surgery. BTW, the American Heart Association has recently changed the recommendation for pre-medication regarding dental treatment for heart murmurs. etc. Most people no longer require pre-medication unless there has been a heart valve replacement or a known history of a previous endocarditis. Check with your PCP or cardiologist if you still require pre-med with antibiotics for dental treatment if you have a heart murmur or MVP. FK

iMarzz
Regular Member


Date Joined Apr 2006
Total Posts : 103
   Posted 7/25/2007 6:26 AM (GMT -7)   
Frayda

Thank you so much for the info. One less thing on the do to list, but will give the Dentist my Rheumatologists info if any questions.

My son premedicates because he had a valvuloplasty, and double valve replacements.

Mary

Ducky
Veteran Member


Date Joined Mar 2005
Total Posts : 3199
   Posted 7/26/2007 3:39 PM (GMT -7)   
Ah, Frayda you're a life-saver! Thanks so much!
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs
Current Meds -  Enbrel/Prevacid/Synthroid/Nitrofurantoin
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots
Additional Supplements - Multi-Vitamin/Bromelian/Acidophilus/Green Tea
 

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