Atrial Fibrillation (AFib) Support Group
Atrial fibrillation (AF or afib) is an abnormal heart rhythm (cardiac arrhythmia) which involves the two small, upper heart chambers (the atria). Heart beats in a normal heart begin after electricity generated in the atria by the sinoatrial node spread through the heart and cause contraction of the heart muscle and pumping of blood.
My understanding is the CPAP s far more effective.
In fact, not having regular cleanings and developing gum infection (called periodontal disease) increases your risk of heart disease. They are right that there is a heart and dental connection, but it shouldn't interfere with dental care.
A dentist may be concerned about an anticoagulant, but does not have to be stopped for normal cleanings and fillings. Often they no longer stop it even for extractions. You might want go find a new dentist.
I use an oral appliance for sleep apnea. I have very mild sleep apnea. I also have a receding jaw and small airway. The oral device holds my jaw forward which opens the airway more. Depending on your situation, it may not be the treatment for you. If you have more severe apnea it may require cpap.
Regarding the Dentist, besides having Complex recurrent A-Fib with rapid ventricular rate response (as my doctor put it) I also have Cardiomyopathy - likely tachycardia induced, Mitral and tricuspid valve regurgitation (2 leaky valves), Hypertension History, Sleep Apnea and also had Heart Failure. Not sure, if this is why they are so concerned with me going to the Dentist?
Honestly, I don't know what all that means, except they keep a close eye on me. It's pretty scary when you live alone with all that going on. I just got a Medical Alert. I'm hoping that my FIRM Ablation will fix some of my problems.
I am on Digoxin and Carvedilol for heart rate control, Eliquis for stroke prophylaxis and Lisinopril for my Cardiomyopathy care.
Both my Cardo and dentist know about it. So far 3-4 years and no
problems.
Overview
Antibiotic prophylaxis recommendations exist for two groups of patients:
those with heart conditions that may predispose them to infective endocarditis
those who have a prosthetic joints and may be at risk for developing hematogenous infections at the site of the prosthetic.
Prevention of Infective Endocarditis (IE)
With input from the ADA, the American Heart Association (AHA) released guidelines for the prevention of infective endocarditis in 2007.
The current guidelines support premedication for a smaller group of patients than previous versions. This change was based on a review of scientific evidence, which showed that the risk of adverse reactions to antibiotics outweigh the benefits of prophylaxis for most patients. Concern about the development of drug-resistant bacteria also was a factor.
Also, the data are mixed as to whether prophylactic antibiotics taken before a dental procedure prevent IE. The guidelines note that people who are at risk for IE are regularly exposed to oral bacteria during basic daily activities such as brushing or flossing.
Patient selection
The current guidelines state that use of preventive antibiotics before certain dental procedures is reasonable for patients with:
prosthetic cardiac valve or prosthetic material used for cardiac valve repair
a history of infective endocarditis
a cardiac transplant that develops cardiac valvulopathy
the following congenital (present from birth) heart disease:a unrepaired cyanotic congenital heart disease, including palliative shunts and conduits
a completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or by catheter intervention, during the first six months after the procedureb
any repaired congenital heart defect with residual defect at the site or adjacent to the site of a prosthetic patch or a prosthetic device (that inhibit endothelialization)
petey