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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. Mitral annular calcification (mac) is increasingly common and poses substantial perioperative risks. From the research dental work, including tooth extractions, should ideally be completed at least two weeks before scheduled cardiac valve repair surgery, as supported by the most recent and highest quality study 1

This timing allows for adequate healing of the oral tissues and reduces the risk of bacteria entering the bloodstream during the cardiac procedure For mitral valve disease related to annular calcification, an expert panel formulated recommendations regarding its evaluation and management, including surgical, transcatheter, and hybrid strategies The severity of the patients underlying cardiac condition

And the management of antibiotic, anticoagulant, and antiplatelet therapy.

Based on the cardiac condition, an appropriate modification in dental care is crucial A multidisciplinary approach including the patient’s cardiologist can potentially reduce complications and improve dental treatment results. Recommendations for use of antibiotics before dental treatment for patients with certain heart conditions and those with joint replacements or orthopedic implants are discussed. 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. Clinical practice guidelines, systematic reviews, and clinical evidence from the american dental association.

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