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Hi all I have systemic sclerosis with heart and lung involvement and am doing extremely well since going into heart and lung failure in June 2011. With great support from my health team, I have now recovered from Myocarditis and my lung function has improved. Long may it continue :emoticons-yes: I now need a couple of teeth extracted and my dentist referred me to a local specialist with a view to him extracting under a general anaesthetic (complications with the size of my mouth - story of my life ha ha). However the anaesthetist has discussed with my local Cardiologist the risks of using a 'general' as I have an irregular heart rhythm and Atrial Fibrillation and they have concluded that I should not have the procedure under 'general'. So......being a brave lass I suggested they extract with a 'local' but nobody is willing to do this. I have done a little research on the web without success and wondered if anyone knows of or has experience of an oral specialist who has experience of Scleroderma patients? Thanks in anticipation.