While we don’t normally think of
teeth having much in common with the heart, children with cardiac issues
require special dental care. Not only can certain heart medications cause side
effects in the mouth but some dental procedures can be dangerous for those with
congenital heart defects if proper precautions are not taken. Luckily, we know
these risks well and will work with you to make sure both your child’s teeth
and heart stay healthy.
Until 2007, people with any type of
heart issue were told to take antibiotics one hour before dental procedures.
These patients were thought to be at risk for developing infective
endocarditis, a serious disease resulting from a bacterial infection in the
tissues of the heart and lung, since bacteria can be introduced into the body
via the mouth. Because children who contract infective endocarditis typically
must be admitted to the hospital and treated with IV medications, taking every
precaution to prevent this from happening made sense. However, more recent
studies showed that only patients with specific types of heart defects need
prophylactic antibiotics, causing the American Heart Association to revise
their protocols. Now, prophylactic antibiotics are recommended only if your
child has
- a heart valve repaired with prosthetic material
- a history of endocarditis
- a heart transplant with abnormal valve function
- cyanotic congenital heart disease that has not been
fully repaired
- a congenital heart defect repaired within the past six
months using prosthetic materials or device
- residual effects despite a repaired congenital heart
defect
Dr. Jared can discuss the best course of
action with your child’s cardiologist. Make sure we know all of the medications
your child is taking, and discuss his or her medical history at every
appointment.
Because there appears to be a
correlation between gum disease and heart disease, healthy teeth and gums are
especially important for children with cardiac issues. Regularly scheduled
appointments at KiDDS Dental, as well as regular brushing and flossing, will help keep
your child healthy and smiling.
Call us to schedule an appointment today! 509-891-7070.