Just an hour ago I had a temporary crown placed - I'm on pred 40mg & Imuran 50mg.
Recently I switched to a new dentist for a long list of repairs and restoration work to be done. I've always required nitrous oxide gas for the physical tension and anxiety and electric pain of needles and drills. But the new office only offers oral sedation medication (halcion). I like it better - it keeps me relaxed throughout the procedure. I bring my own eye bag cover, ipod relaxation music, and shawl to stay warm. Plus the halcion doesn't have the side effect of nausea in the hours following that the nitrous did. It does require that you arrange a ride to & from the office.
At my first appointment - I had been on prednisone 40 mg for a month. His only concern was the possibility of infection. Now I am on imuran 50 mg for a week and I am more concerned about infections of all types - not just from dental procedures. During the upward taper of imuran dosage my bloodwork will be monitored every 3-4 weeks. Any red flags should be communicated to the dentist who can decide if there is any new risk to be concerned about. Ask your GI doc to send copies of your serial blood work to your dentist (sign a consent and provide names, addresses, phones, fax #s).
NSAIDS are a NO NO for most of us with UC. So the prednisone is still the numero uno antiinflammatory. Without a large dose of NSAIDs available for post-dental appt pain - You may want to ask for an prescription of pain medication, like plain tramadol, codeine, hydrocodone, or oxycodone (not in combined fomulations with acetaminophen or ibuprofen, or aspirin).
Wish you the best,
Ciao, Miz D in Oregon
47 yo Female in the Willamette Valley, Oregon, USA
Mild-Refractory UC/Proctitis, Dx 2006
Other GI Dx: IBS, GERD, Binge Eater h/o Bulemia, Vegetarian, Hyperlipidemia, Overweight (BMI @29 after 10-weeks of Prednisone)
GI Meds: Prednisone, Mesalamine, Imuran, Probiotic, Vytorin, Famotidine/Prilosec, Tums, Miralax, Senna, Hoodia, Flax Oil, Goat Yoghurt
Other Dx: 1988 Fibromyalgia: Chronic Pain, Fatigue, Sleep Dysfunction, Depression, Anxiety