What to Tell Your Dentist
Diabetes
If your blood sugar levels fluctuate, healing takes longer and wounds are more prone to infection. Please tell us: whether you have type 1 or type 2, your current blood sugar reading, and whether you use insulin. We’ll schedule your appointment at the best time to avoid spikes. Anaesthesia containing adrenaline can raise blood sugar, so we’ll take extra care.
Blood Thinners (aspirin, clopidogrel, warfarin, Eliquis, etc.)
Some bleeding after extractions is normal, but yours may last longer. Do not stop taking your medication on your own. Simply let us know what you take. We’ll decide together whether to continue as usual, switch to alternative methods, or proceed with extra care. In some cases, a one- or two-day pause may be appropriate — but only with your doctor’s approval.
Heart Conditions, High Blood Pressure, Arrhythmia
If you’ve recently had a heart attack or experience blood pressure fluctuations, we may postpone major procedures. We’ll ask whether you have a pacemaker and whether you carry nitroglycerin. Anaesthesia with adrenaline will only be used if your heart condition is stable — otherwise, we’ll avoid it to prevent complications.
Drug Allergies
Lidocaine, Ultracain, and adrenaline are common triggers. If you’ve ever experienced a rash, swelling, or difficulty breathing, please let us know and we’ll choose an alternative — such as a plain anaesthetic without adrenaline. Tell us early, even if the reaction seemed minor.
Pregnancy and Breastfeeding
First trimester: emergencies only. Second trimester: most procedures are fine, but we avoid adrenaline. Third trimester: it’s better to wait until after delivery. If you’re breastfeeding, we use adrenaline-free anaesthetics, and we recommend skipping one feeding in the two to three hours following your appointment. Everything is manageable — just be sure to let us know in advance.
Osteoporosis and Bisphosphonates (Zometa, Aclasta, etc.)
There is a small risk of jaw bone complications. If you’ve been taking these medications for over a year, please tell us. We may perform additional checks or take a more conservative approach. It’s not cause for alarm — just important information for us to have.
Autoimmune Diseases (lupus, rheumatoid arthritis)
Healing may be slower and your immune system can overreact. We may prescribe antibiotics beforehand. If you take corticosteroids, do not reduce your dose without consulting your doctor. We’ll plan your treatment around your condition.
Antidepressants and Tranquilizers
These medications can heighten pain sensitivity, and anaesthesia may be less effective. If you take sertraline, fluoxetine, diazepam, or similar medications, please let us know. We may increase the anaesthetic dose or use a calming supplement to improve your comfort.