Thursday, April 16, 2009

I need to get a deep teeth cleaning while having a minor heart condition?

My gums have been hurting and swollen lately, so I went to see a dentist, who told me that I have the big pockets (more 5mm) and I need to get a deep cleaning and more. However, I recently was told by my physician that I might have a minor heart murmur. So my dentist won%26#039;t see me until I get a release from my physician/cordiologist. The problem is that my first appointment with a cardiologist is only next month and I am not sure how long it will take to get results about my heart murmur.





Should I try to get a form signed by my physician instead? She doesn%26#039;t know much about my heart since it was discovered lately. Am I putting my heart in danger of getting some bacteria if I get this form signed without serious check-up and diagnoses of my heart? Or will this waiting for seeing a cardiologist first hurt my teeth? I don%26#039;t want to increase my heart condition by using antibiotics at the dentist office but neither I want to lose my teeth by not treating them! Please help!!!!

I need to get a deep teeth cleaning while having a minor heart condition?
My daughter has had a V murmur since birth. She%26#039;s an adult now and has had her teeth cleaned twice yearly since the age of 4. Ask for an antibiotic to be prescribed and take it 4 hours before your scheduled cleaning.





You%26#039;ll be fine.





Keep that Cardio appt. You%26#039;ll be relieved to know how functioning most murmurs really are.
Reply:The best thing to do is ask your Dr and he/she will be able to tell you the best course of action to take. Depending on how bad the cleaning is you might have to go on antibiotics. Don%26#039;t take any chances.
Reply:They used to want to put you on antibiotics in advance just in case. It doesn%26#039;t seem to be as big a deal now as it was a few year ago. Call your cardiologist and explain the situation; it shouldn%26#039;t require an office visit
Reply:A heart murmur is a common thing. Your dentist is correct in that cleaning teeth does release a lot of bacteria into the blood stream and the dentist does not want bacteria landing and growing on your heart. You will want to talk to your regular doctor, he/she will likely give you an antibiotic to take shortly prior to you teeth getting cleaned. This is a standard procedure to anyone who has a heart issue.
Reply:In April of this year, the American Heart Association recommended a stop to the practice of using preventative antibiotics prior to dental treatment in all but a few cases. This is a drastic change from the past, and many health care providers are either unaware of it, or are being overly cautious about discontinuing a practice they have done for many years.





Please read the link, print it out, and take it to your dentist or physician. You may not need to take antibiotics after all. ONLY your doctor can make that determination, however, and I%26#039;m NOT a doctor.





This is a highlight from the AHA article:


The current practice of giving patients antibiotics prior to a dental procedure is no longer recommended EXCEPT for patients with the highest risk of adverse outcomes resulting from BE (see below on this card). The Committee cannot exclude the possibility that an exceedingly small number of cases, if any, of BE may be prevented by antibiotic prophylaxis prior to a dental procedure. If such benefit from prophylaxis exists, it should be reserved ONLY for those patients listed below. The Committee recognizes the importance of good oral and dental health and regular visits to the dentist for patients at risk of BE.





Added: I think you should either call or visit your dentist and ask him to read the AHA article. There was a summary of it in JADA, the dental journal. It is possible you don%26#039;t NEED to premedicate if all you have is a past heart murmur.
Reply:1. Listen to the Deborah Ray Show (www.HealthyTalkRadio.com). She has an excellent alternative dentist on once per week. (Dr. Koulacz). Dr Koulacz teaches that mouth germs cause heart disease.





2. Blend up a bulb of garlic with water and vitamin C. This is the %26#039;mother of all mouthwash%26#039;.


After a few days there will be no germs left anywhere in your mouth.


Drink this for a few days and ditto for the entire body.


A bonus is that your energy level will increase dramatically as the germs die.



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