Special attention in the dental office for patients with heart disease
About 60 million Americans suffer from some form of heart disease, and according to the American Heart Association (AHA) has been the leading cause of death since 1919. You probably know someone who has cardiovascular disease - One in five Americans have some form of the disease, and someone dies every 33 seconds from heart disease.
After understanding how many people are affected by heart disease is not surprising that 62 percent of dentists see signs of heart problems in their patients. Heart patients need special treatment in the dental office, they may react differently to dental treatment. Consequently, the Dental Association American and AHA have written guidelines for dental professionals in treating patients with heart disease.
The AHA recommends that suffer from diseases Heart do these three things:
Establish and maintain a healthy mouth by practicing good oral hygiene and visit your dental office regularly.
• Ensure dental professionals know you have a heart condition.
· Follow the instructions in the medical or dental professional when they prescribe antibiotics and other drugs.
Patients (including children) who are at greater risk of developing infective endocarditis include those who have:
• A previous history of endocarditis
· Heart valve prostheses
· Congenital and acquired heart defects
· Built pulmonary shunts surgically
"Valvular and rheumatic heart disease
· Mitral valve prolapse
· Used intravenous drugs
Antibiotics may be required before treatment when the bleeding of the gums is a possibility. Examples of these treatments include:
Teeth cleaning ·
· Procedures in hard and soft tissues
· Periodontal (gum) surgery
· Climbing
There is a vicious circle of heart and periodontal disease. The heart problems can affect conditions in the mouth. Conversely, if your gums sick, there can be no adverse effects on the heart. Therefore, it is prudent to do everything possible to keep your teeth and gums free of plaque, especially if you have a heart condition.
There are several side effects of medication for heart disease. While blood thinners and blood pressure medications pressure can help relieve the symptoms of coronary artery disease or hypertension, some side effects can impact dental health.
According to the American Academy of Periodontology, some of these drugs have been known to cause conditions such as dry mouth, increased plaque and gum tissue enlarged. Side effects may seem insignificant, but which could have serious consequences if not treated.
Infective endocarditis is a rare disease but potentially life-threatening illness that can occur when plaque bacteria released into the bloodstream. This can happen in the simple acts like brushing teeth and flossing. If your gums bleed, bacteria called streptococcus sanguis can enter the bloodstream and adhere to damaged heart tissue or values, leading to fever, anemia and even death.
Brush twice a day! Because of the severity of infective endocarditis, it is vital that all precautions are taken. It is recommended to anyone who is at risk of developing this condition keep your mouth as plaque free as possible. Protect Your Heart is careful to brush your teeth for at least two minutes twice a day, especially after meals and floss daily.
carriers prosthesis should pay special attention to the adaptation of their dentures. If sore spots develop, call your dentist for an appointment without delay. If these points are infected, increases the risk of infective endocarditis.
When patients with heart disease to make an appointment with the dentist, especially for procedures may cause bleeding gums, the dentist will evaluate your medical history to see if there is a risk of infective endocarditis. You should also know if there are any drug allergies or if you are taking the medication. If there is a concern, your dentist can prescribe the appropriate antibiotic and provide instructions for the frequency and dosage.
Making dentistry in patients with heart disease should be no problem as long as your dentist has all relevant information on their condition. Please tell your dentist at the beginning of his visit to the dentist if you have been diagnosed with or suspect you might have a heart-related condition. Your dentist can work with your doctor to ensure you receive proper care. If you have any questions or concerns, please contact the dental office.
About the Author
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European Society of Cardiology (ESC) Guidelines 2009
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