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The purpose of this systematic review was to determine the potential effect of dental treatment before cardiac valve surgery (cvs) or left ventricular assist device (lvad) implantation on morbidity and mortality. For the purposes of this review, we defined professional dental treatment as oral health care performed in a dental practice or clinic setting before cardiac surgery as part of the overall surgical preparation process or to treat disease of the oral cavity before surgery. For patients awaiting mitral valve repair, it's recommended to inform your dentist about your upcoming cardiac surgery so they can prioritize necessary dental treatments.
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Based on the cardiac condition, an appropriate modification in dental care is crucial Mitral annular calcification (mac) is increasingly common and poses substantial perioperative risks. A multidisciplinary approach including the patient’s cardiologist can potentially reduce complications and improve dental treatment results.
The guidelines of the american heart association state the following
“a careful preoperative dental evaluation is recommended so that required dental treatment may be completed whenever possible before cardiac valve surgery, or replacement or repair of congenital heart disease. Materials and methods this retrospective study included only outpatients referred for dental focus screening before heart valve replacement between. Dental procedure guidelines for patients with mitral valve prolapse antibiotic prophylaxis is not recommended for patients with mitral valve prolapse undergoing dental procedures according to current guidelines 1 risk assessment for mitral valve prolapse the 2014 aha/acc guidelines and european society of cardiology guidelines have significantly changed the approach to antibiotic prophylaxis.
For mitral valve disease related to annular calcification, an expert panel formulated recommendations regarding its evaluation and management, including surgical, transcatheter, and hybrid strategies
