Periodontal Disease & The Dangers of Infective Endocarditis

Infective endocarditis is a rare, life-threatening disease that inflames the interior lining of your heart. Bacteria from plaque called streptococcus sanguis cause the disease when they enter your bloodstream and adhere to damaged heart tissues or valves. Because infective endocarditis is such a serious condition, prevention is vital.

Gums infected with periodontal disease are reservoirs of disease-causing bacteria. The bacteria reside in pockets next to the teeth where the diseased gums have pulled away from the tooth surface. When your gums bleed, a doorway is created for the plaque bacteria to travel from your mouth into your bloodstream, potentially infecting other areas of your body.

The American Dental Association and American Heart Association recommend that you take antibiotics before dental treatment if your physician has told you that you are at risk for developing infective endocarditis, or if your medical history includes:

1. valvular heart disease

2. a congential heart defect

3. mitral valve prolapse

4. rheumatic heart disease

5. an artificial heart valve

6. intravenous drug use

When you make your appointment for dental treatment, especially for procedures that may cause your gums to bleed, we'll evaluate your medical history to see if you are at risk for infective endocarditis. We must also know whether you are allergic to any drugs or if you are currently taking medication. If endocarditis is a concern, we will prescribe the appropriate antibiotic and give you instructions for the frequency and dosage.

Words of Wisdom...

In order to protect your heart, it's crucial that you avoid periodontal disease by keeping your teeth and gums free of plaque and tartar (calculus). Brush thoroughly after each meal, floss each and every day, and keep your regular dental visits for cleanings and continued homecare evaluation and instructions.


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