• 01 JUN 16


    If you are taking warfarin, we can still perform most dental procedures on you in the practice

    In the case of a surgical procedure e.g. an extraction we will need to do the following:

    • When you are told by your dentist, please make the appropriate appointment at reception and then arrange an INR appointment 24-48 HOURS BEFORE your dental appointment.
    • You must bring the book from your warfarin clinic with you and it must have the reading and signature in it for the treatment to be done.
    • If your reading is over 4.0 you should immediately cancel your dental appointment and rearrange when your levels are normalised. This should take place within one month otherwise the course of treatment will be closed down.
    • Please make your dental appointments on Tuesday – Friday and always arrange early morning appointments. This is to ensure your INR reading is current (readings are not available on Sundays) and to ensure that you have the whole day after your treatment to contact the surgery if you have any problems.
    • It is your responsibility to ensure appointments are within 24 hours from your last INR reading and that if not, you cancel your appointment immediately.

    Before, During and After Treatment

    • Always have a hearty breakfast (without caffeinated coffee or tea) before your dental appointment.
    • Bring someone with you to help you get home.
    • Do not drive or cycle.
    • Do not arrange to do anything strenuous or active for the next 24 hours.
    • You will be asked to sit outside a surgery for as long as it takes for your bleeding to stop. You will be discharged by your dentist when all is well. If you choose not to stay and leave against the advice of your dentist, you will be asked to sign a self discharge notice.
    • Follow the advice sheet given to you for post extractions.
    • If you have any questions, ask them, we are happy to answer.

    Up to 5.30pm you can call and speak to a dentist on tel. 0207 341 0300, tell reception that you are a Warfarin patient who needs help immediately. You can always get urgent NHS dental care if clinically necessary. Contact the after hours dental triage services on tel. 0208 867 1411.

NHS Treatments


    To avoid a dry socket (post operative infection of the bone), usually due to early loss of the blood clot… Avoid excessive exercise for several hours. Ideally, rest by sitting in a chair and use an extra pillow for the first night.Excessive exercise will cause further bleeding. Do not drink anything alcoholic for 24 hours.

  • BRUXISM – Grinding or Clenching your teeth

    Bruxism (Medical term for the habit of grinding/clenching your teeth). Who is most at risk? – You are more likely to suffer from bruxism if you: Have a stressful lifestyle Drink large amounts of alcohol Smoke Take medication for sleep, depression or anxiety (paroxetine, fluoxetine and setraline) Drink six or more cups of tea or coffee a


    What is Fluoride? Fluoride is a natural mineral that is able to protect teeth against decay. It is not a substitute for cleaning your teeth and eating healthily. It is found in toothpastes, mouth rinses and is added to public water supplies in some areas (not in London). How does Fluoride work? If fluoride is


    What is it? Keeping your teeth and gums clean, healthy and free from infection. Good oral hygiene will prevent dental decay and periodontal disease and is essential for preserving gums and the bone which keeps your teeth secure in your mouth. If you smoke you are much more likely to get periodontal problems. You are


    TOOTH (dentine) HYPERSENSITIVITY and EROSION (worn teeth) What is hypersensitivity? It is a short sharp pain arising from exposed dentine (part of the tooth which is in communication with the nerve inside the tooth) in response to stimuli. These could be thermal such as hot or cold drinks, chemical such as sweet or acidic food


    Your child’s first teeth will begin to erupt at about six months of age. The lower deciduous (baby) incisors (front teeth) erupt first followed by the upper deciduous incisors. These are followed a few months later by the lower, then upper deciduous first molars (back chewing teeth), the deciduous canines (pointed teeth at side of