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Real members of myPHteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

I'm in Grp. 1, PAH with COPD. I need to have 3 molars extracted. Is dental anesthesia ok for me? I've not had problems with my angio. or RHC

A myPHteam Member asked a question 💭
August 19
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Anesthesia for Pulmonary Hypertension: Your Guide Read Article...
A myPHteam Member

Best if you can have it done under a local. Most oral surgeons do their own anesthesia and won’t really be able to handle a cardiac event or even understand the relationship between anesthesia and the right ventricle with PH patients.

I had an extraction of a single canine tooth under a local and it wasn’t bad at all. Vinny has had a couple of single extractions under locals as well.

Whatever you decide to do, get clearance from your team. They will probably also want you on antibiotics

August 19 (edited)
A myPHteam Member

Well I am so sorry that you need this procedure at a late date in life but the best thing about this situation is doctors are far more comfortable in this procedure if you're getting one or all four done at one time no problem in the past they used moonshine to kill the pain but now there's so many ways to extract your teeth it should only take 45 minutes to do all four with you it will be done in a hospital then after all the best ice cream that you can eating will pray 🙏🙏🙏🙏🙏 for you but doctor's do up to 10 people a day with different situations greater than your if you need a support person i am her I just can't hold your hand in person but in prayer 🙏🙏🙏🙏🤠🤠🤠🤠🤠🤠🤠

August 19
myPHteam

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!

August 19
A myPHteam Member

🤞Ok! I'll keep telling myself that. 😉

August 20
A myPHteam Member

Don't be all will be lovely I guarantee you no problem then you can wear all you want

August 20

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