Cosmetic Laser Procedures Questions and Answers Archive


Q&A: Should I stop Accutane for acne and how far in advance before having oral surgery?


I've been taking Accutane for acne 20 mg (.5mg/kg) once a day for 5 weeks . I have since developed an infection around a wisdom tooth, and it looks like it needs to be removed. Should I stop the Accutane, and, if so, how long should I wait before oral surgery?

- Sarah


 David A. King, DDS -

Good question. Accutane must be stopped several months prior to cosmetic laser surgery due to its affects on sebaceous gland function and skin keratinization. It is also well known to affect many other areas of your body, including inhibiting contraceptive drugs. Oral skin has both areas of keratinization and without and there are no sebaceous glands in the oral cavity so the chance of problems are most likely small but may slow the healing of the gum tissue. I would suggest you also contact the prescribing doctor.

-- David A. King, DDS
Wilmington, Delaware