Question Rituxan and Dental work

So I have a hole in my one molar started to hurt real bad. Went to dentist had an abscess prescribed antibiotics and tooth feels better. Tooth supposed to be removed August 27.

I start Rituxan next Thursday. Doctor's office just called back and said I should postpone the tooth extraction.


Anyone here have experience with Rituxan and dental extractions. currently searching the net but could use a little help!

Doctor believes I should finish the treatment first (wants my counts up for dental extraction). I will find out next thursday if he wants to wait to see if it works first or if he thinks there is some risk to me if I do it while I'm getting it!

If his reason is just because he wants the count up than far as I'm concerned a platelete count just before and if needed Rhogam (my rescue treatment) and I'm thinking a course of antibiotics as a precaution.


PS: I forgot how much of a pain in the butt ITP is lol

Sorry, I have no experience with Rituxan and dental work, but I do have experience with low counts and dental work. I've had a few visits to the oral surgeon in the past 12 years. The most recent one was July 10, 2013 when I had to have an upper tooth cut out. It was all just a normal procedure, I received a couple of stitches, a script for Vicodin 7.5, and had no problems.
According to my records; my platelet count was 15k two days prior (July 8th).

Interestingly enough; both my hematologist and my oral surgeon did not want me to take steroids to raise the count. Two days of Dex would have put me at a higher range. BUT, both doctors told me that steroids would interfere with the healing.

Everyone is different. Some ITP people may need to be in a hospital O.R. for the most routine tooth extraction, others are able to just get on with it just like everyone else. I think most everyone bleeds when a tooth gets cut out.
You've been on this ride long enough to know yourself and your symptoms, what do you think?

.

This would be my first time having a tooth removed in dentist office. In the past they have always done it in hospital but that was because that was where the dentist felt comfortable. I have never shown symptoms unless my count is under 20.

So I'm not worried figure Platelet count few days before if count is low do Rhogam than i'm good to go!

I'll bet money he doesn't want me to hold off because of Rituxan causing an issue but that he wants my counts in the normal range! Or wants to wait and see if to make sure Rituxan has worked!