[{"@context":"https:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/nqsurgicaldentistry.com.au\/cardiac-disease\/#BlogPosting","mainEntityOfPage":"https:\/\/nqsurgicaldentistry.com.au\/cardiac-disease\/","headline":"Cardiac disease influencing dental management","name":"Cardiac disease influencing dental management","description":"[et_pb_section fb_built=”1″ fullwidth=”on” custom_padding_last_edited=”on|desktop” _builder_version=”3.22.3″ background_color=”#ffffff” custom_padding_tablet=”0px|0|0px|0||” custom_padding_phone=”” custom_css_main_element=”z-index: 0;” transparent_background=”off” padding_mobile=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on”][et_pb_fullwidth_header background_overlay_color=”rgba(255,255,255,0)” content_max_width=”none” module_id=”top-header” _builder_version=”3.22.4″ title_font_size=”25px” background_color=”rgba(255,255,255,0)” background_image=”https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/medication.jpg” hover_enabled=”0″ custom_css_main_element=”height: 350px; 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padding: 1px;” background_url=”https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/medication.jpg” button_one_letter_spacing_hover=”0″ button_two_letter_spacing_hover=”0″ button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”on” button_one_letter_spacing__hover=”0″ button_two_letter_spacing__hover_enabled=”on” button_two_letter_spacing__hover=”0″ button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” sticky_enabled=”0″][\/et_pb_fullwidth_header][et_pb_fullwidth_header title=”Cardiac Disease & Dental Management” content_max_width=”none” _builder_version=”4.9.4″ background_color=”#0aaaaf” hover_enabled=”0″ custom_css_main_element=”height: 80px; padding: 1px;” button_one_letter_spacing_hover=”0″ button_two_letter_spacing_hover=”0″ button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”on” button_one_letter_spacing__hover=”0″ button_two_letter_spacing__hover_enabled=”on” button_two_letter_spacing__hover=”0″ button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” min_height_last_edited=”on|phone” min_height_phone=”120px” sticky_enabled=”0″][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|desktop” _builder_version=”4.0.3″ background_color=”#ffffff” custom_padding_tablet=”50px|0|50px|0″ custom_padding_phone=”” top_divider_style=”wave2″ top_divider_color=”#0aaaaf” top_divider_height=”32px” transparent_background=”off” padding_mobile=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on”][et_pb_row _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”3.27.4″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off”]Cardiac Disease and Implementing Dental Management for SurgeryIn our series of \u201cMedication and Dental Surgery: How your medical history influences treatment decisions\u201d series we discuss cardiac disease and its impacts on dental management.In an attempt to prevent an infection such as endocarditis, many cardiac patients have been directed by their cardiologist to receive a specific antibiotic therapy before they receive dental treatment, however the evidence to support the effectiveness of this practice is weak and current standards of evidence-based medicine call into question the need for, and the effectiveness of prophylactic antibiotics for patients with a number of cardiac problems.Indeed the risk of suffering from side effects of the antibiotics including allergy responses and gastrointestinal effects appear to be greater than the likelihood of benefiting from the medication.There are a number of conflicting medical guidelines at this time concerning which patients need to receive antibiotics before invasive medical or dental procedures to prevent endocarditis developing in susceptible patients.\u00a0\u00a0 It is important therefore to define who are susceptible patients; this is covered in the next few paragraphs.The 2006 British Society of Antimicrobial Chemotherapy, 2007 American Heart Associationand the 2008 UK Department of Health National Institute for Clinical Excellence (NICE) Guidelines all list slightly different groups who are considered susceptible to endocarditis.It is agreed that patients with a history of previous endocarditis or patients who have prosthetic heart valves should receive appropriate antibiotics before invasive medical or dental procedures that may lead to a bacteraemia.\u00a0\u00a0 The American guidelines also include heart transplant patients with valvulopathy.\u00a0 However, the 2008 UK NICE guidelines most recently have advised that the provision of antibiotics purely to prevent endocarditis is not necessary for any patients as there is no evidence base to indicate that such a practice has any beneficial effect.The most recent Australian guidelines (2008) advise the provision of prophylactic antibiotics for patients who have a previous history of:endocarditisprosthetic heart valvesprosthetic material used to repair heart valvesheart transplant patients with subsequent valvulopathy with full consultation with the cardiologistRheumatic Heart Disease and are in a high risk group for endocarditis, in particular patients in low socio-economic groupsSome patients with congenital heart disease may also need prophylactic antibiotics.This would be discussed with the cardiologist.Dr Priestland will use the recommended antibiotics if your cardiac history indicates there is a need or if your cardiologist advises this is recommended.What is endocarditis?Infective endocarditis is a relatively uncommon condition that arises from a bacterial infection of the damaged heart lining called the endocardium.\u00a0\u00a0 All surfaces of the heart chambers and the heart valves are covered by endocardium. It is when this surface is damaged that a patient can suffer from a condition called endocarditis.\u00a0\u00a0 Endocarditis is initiated by colonisation of the damaged endocardial surface by bacteria circulating in the blood stream (bacteraemia).\u00a0 A bacteraemia may occur as a result of an invasive medical or dental procedure.contact the friendly team at NQ Surgical Dentistry today on\u00a0(07) 4725 1656 or call in to see us at\u00a0183 Kings Rd, Pimlico QLD 4812 Other posts in this seriesMedication and Dental Surgery: How your medical history influences treatment decisions – Click HereOsteoporosis medication influences dental extractions and dental surgery – Click HereDiabetes and dental treatment or surgery – Click HereDental extractions and surgery after radiation therapy of the head and neck – Click HereKnee or hip replacement surgery influences future dental management – Click HereThe influence of cardiac disease on dental management – Click HereAnticoagulant and anti-platelet medications influence management of dental extractions and dental surgery – Click HereCodeine sensitivity or allergy – Click HerePatients who routinely take steroid medications – Click Here [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|tablet” admin_label=”Services” _builder_version=”3.22″ custom_margin=”|||” custom_padding=”0|0px|0|220px|false|false” custom_padding_tablet=”|0%|40px|0%|false|true” custom_padding_phone=”” border_radii=”||||20vw” box_shadow_style=”preset1″ box_shadow_vertical=”40px” box_shadow_blur=”60px” box_shadow_color=”rgba(0,64,135,0.06)”][et_pb_row use_custom_gutter=”on” _builder_version=”4.0.3″ background_color=”#0aaaaf” background_enable_color=”off” width=”100%” max_width=”100%” module_alignment=”right” custom_margin=”|||” custom_padding=”0|0px|0|0px|false|false” use_custom_width=”on” width_unit=”off” custom_width_percent=”100%”][et_pb_column type=”4_4″ _builder_version=”3.25″ 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