Meeting abstract
Cardiac Patients - Cooperation Between the Dentist and the Cardiologist
M. Abdović
E. Abdović
H. Sulejmanagić
Abstract
Awareness of association between dental and cardiac affections is principally baned on workday experience. Infective endocarditis (IE), coronary heart disease (CHD) and cardiac patients with anticoagulation therapy are principal cardiac diseases related to dental affections. Indication for antibiotic prophylaxis depends on present cardiac pathology and dental procedure. Antibioprophylaxis is necessary in patients with high or moderate risk of IE but it is not requisite in low-risk patients. In all cases, decent oral and dental hygiene and regular dental care are most efficient methods of IE prevention. CHD and dental diseases are related because of similar risk factors (ie abundant sugar consumption) and because of endothelial inflammation which elevates the risk of acute coronary syndrome. Today, dental procedures are not contraindicated in patients with recent coronary syndrome if precise protocols are followed. Considering the risk of hemorrhage during dental procedures in patients with anticoagulation therapy, dental care and extractions are possible if INR or heparinemy are within therapeutical limits including local hemostasis. Aspirin is not discontinued before a minor dental procedure. Better collaboration between dentists and cardiologists should enable optimal treatment of patients with heart disease requiring dental procedure.
Keywords
Hrčak ID:
2728
URI
Publication date:
15.9.2003.
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