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Having PAH does add some complexity when it comes to anesthesia, even for dental procedures. The good news is that tolerating your angiography and right heart catheterization well is a positive sign about how your body handles procedures!

That said, dental extractions typically use local anesthesia, which is generally Show Full Answer

Having PAH does add some complexity when it comes to anesthesia, even for dental procedures. The good news is that tolerating your angiography and right heart catheterization well is a positive sign about how your body handles procedures!

That said, dental extractions typically use local anesthesia, which is generally considered safer for people with PH compared to general anesthesia. Local anesthetics work on a specific area without affecting the whole body, meaning they have less impact on breathing, blood pressure, and lung circulation. Before going ahead, there are a few important steps worth taking:

- Tell your dentist and oral surgeon about your PAH diagnosis and all medications you're taking — some anesthesia drugs interact with PH medications
- Loop in your PH specialist before the procedure so they can advise your dental team
- Check your blood thinners — if you're on anticoagulants like warfarin, your team will need to discuss whether to pause them before extraction
- Make sure your PAH is as well-managed as possible before the procedure

Your PH care team and dentist working together is really the key here. It's always worth that extra conversation before any procedure, no matter how routine it may seem!

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

Anesthesia for Pulmonary Hypertension: Your Guide