DENIAL TREATMENT OF THE CHILD WITH CONGENITAL HEART DISEASE

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Journal of the Korean Academy of Pediatric Dentistry 2000;27(2):208-215.
Published online May 31, 2000.

DENIAL TREATMENT OF THE CHILD WITH CONGENITAL HEART DISEASE

선천성 심장질환 환아의 치과치료

김재곤, 이용희, 김미라, 백병주

전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소

Abstract

Patient with congenital heart disease are susceptible to infective endocarditis, and bacteremia following dental procedures may lead to infective endocarditis is these patients. Therefore prophylactic antibiotics are recommended for patients with congenital heart disease who are undergoing dental procedures that are associated with infective endocarditis. In 1997 American Heart Association revised guidelines for a prophylaxis against infective endocarditis. The new American Heart Association recommendations for the prevention of infective endocarditis represent a substantial departure from past guidelines. Major change involve the indications for prophylaxis, antibiotic choice and dosing that may reduce bacteremic risk. Previously, antibiotic prophylaxis was suggested for dental procedures associated with any amount of bleeding. Now only those that are associated with significant bleeding are recommended for prophylaxis as dictated by clinical judgement. Recommended antibiotic prophylaxis regimens now consist of a single preprocedural dose, no second dose is recommended. This report presents three cases of dental treatment of patients with congenital heart disease under the most recent American Heart Association recommendations for antibiotic prophylaxis.

Key Words: Congenital heart disease, Infectious endocarditis, Antibiotic prophylaxis