Tooth extraction>

Well, I had a tooth removed and another time had dental surgery and bone replacement while on Prednisone.  My Rheumy had said I could take an extra mg. in times of sickness or stress, but I did not take extra for any of the dental work.  However, I think this is a question for whichever Dr. prescribes your prednisone for whatever your condition is.  Everybody's reaction and stress level is different.

It used to be thought that raising the pred dose was needed to cover surgery/dental work - more recent thought is that it is better to just keep a close eye on you for any adrenal crisis symptoms in which case they would give some pred. In real surgery what they usually do is give a dose in the infusion during the procedure if the surgeon/anaesthetist feels it is necessary. 

At 14mg you are well above the physiological dose so you should be OK for something as small as a tooth extraction. I had an upper wisdom tooth out a couple of years ago while on about 10mg - I was worried, the local hospital and dentist weren't. They were right. 

If you do have to have the tooth out then be very aware of any unusual feelings of being unwell afterwards - and don't ignore them. Are you on any other medication besides pred? Alendronic acid for example? Have you told the dentist about them? You may find that 14mg of pred may make you bleed a bit more when the tooth is taken out. I have to say - I'm surprised your dentist "doesn't know" and perhaps it is worth speaking to your doctor about the local usual practice. Sometimes patients are sent to hospital for such extractions - although not here in Italy where I live. If you are in the UK, do you have a rheumatology specialist nurse? 

I would ask your Dr. If anything that I know is that pred lowers a person immunity, making the chance of getting a infection more likely. My partner recently had a total shoulder replacement and has to take antibiotics before any dental work. 

I had an abcess and was referred to the Dental Hospital in Newcastle upon Tyne, it is part of the University training Dentists.

I was told not to do anything with my pred dosage.   When I went to have the tooth and abcess sorted out, they trainee, the lecturerer and another person, who monitored my blood pressure et all - whilst the work was being done.   Fantastic and no adverse effects what so ever.

NHS comes ups trumps everytime in my experiences - with five years of GCA.

Diana, I had a molar extracted due to a cracked root, about one month ago. The Oral Surgeon did not suggest I up my prednisone and I did not contact my rheumatologist. I had just transitioned to 3mg after slowly reducing for 2 months from 4 mg. The Oral surgeon had prescribed penicillin to be taken 4 hrs prior and for 7 days following surgery. Although I had never before had an adverse reaction to penicillin, I did develop some serious symptoms 24 hours after the procedure and was told to d/c it. At 48 hours post procedure, my old PMR symptoms started creeping in... extreme fatigue, sleeping for 11 hours straight, pain in hips thighs and knees and a weird sensation that I call the "hebegeebies" in my thighs. I immediately upped my pred to 4 mg. and stayed there for a month before starting DSNS to 3.5. Symptoms went away right away. I know I am a lucky one and others may not fair so well. Hope your extraction is not too uncomfortable and your PMR stays under control.