When you think about heart health, your teeth might not be the first thing that comes to mind. But there’s a surprising connection between the health of your mouth and the health of your heart, especially for people living with heart disease or preparing for heart surgery. In fact, maintaining good dental hygiene and treating dental problems early can be a critical part of your care plan.
In this post, we’ll explore why dental fitness matters, how it impacts heart health and surgery outcomes, and what steps you can take to protect yourself.
The Link Between Oral Health and Heart Disease
Our mouths are full of bacteria, most of them harmless. But when oral hygiene is poor, harmful bacteria can grow and lead to infections like gum disease (gingivitis and periodontitis). These conditions cause inflammation and can allow bacteria to enter the bloodstream.
What Does It Mean to Be “Dentally Fit”?
Being “dentally fit” means your mouth is free from infections, untreated decay, gum disease, or other conditions that could pose a risk to your health. Before heart surgery, your doctor may require a letter from your dentist confirming that your oral health is stable.
To be considered dentally fit, you should:
• Be free from active dental infections, such as abscesses.
• Have no untreated gum disease or severe inflammation.
• Ensure all extractions or dental work are completed well ahead of your surgery date.
What If You Don’t Have Access to Dental Care?
In some regions, access to dental services may be limited. If this is your situation:
• Let your cardiologist or GP know as early as possible, they may be able to refer you to hospital-based dental services.
• Practice daily oral hygiene diligently.
• Report any signs of dental pain, swelling, bleeding gums, or bad breath to your doctor.
Conclusion
The health of your mouth and heart are more connected than you might think. If you’re living with heart disease or preparing for surgery being dentally fit it isn’t just a recommendation; it’s an important part of your overall care. A
dental infection, left untreated, could complicate your recovery or even endanger your life. By seeing your dentist early, treating any problems, and maintaining good daily
hygiene, you’ll help protect your heart, your surgery, and your health in the long term.
Takeaway Tip:
If you’re planning heart surgery or managing a chronic heart condition, don’t put off the dentist. A healthy smile could literally help save your heart.
For people with heart conditions, this can be dangerous. Bacteria from themouth can travel through the blood and infect damaged heart valves or heart tissue. This condition is called infective endocarditis, a serious and potentially life-threatening complication. Studies also suggest that chronic gum disease may increase the risk of atherosclerosis (narrowing of the arteries), stroke, and other cardiovascular
issues. While the exact mechanisms are still being researched, the link between poor oral health and heart problems is now widely acknowledged by both dental and medical professionals.
Why Dental Health Is Crucial Before Heart Surgery
If you’re scheduled for heart surgery, such as a valve replacement or coronary artery bypass, your surgical team may insist on a dental evaluation beforehand.
Here’s why:
• To eliminate hidden infections: Even if you don’t feel pain, you might have underlying dental infections, such as abscesses or deep gum pockets. These can release bacteria into the bloodstream during or after surgery, increasing the risk of infective endocarditis or other complications.
• To prevent delays or cancellations: If an infection is found too close to the surgery date, the procedure may need to be postponed until treatment is completed.
• To support recovery: Good oral health reduces the risk of infection after surgery and helps ensure your immune system isn’t fighting battles on multiple fronts.
Essential Steps Before Heart Surgery
1. Schedule a Dental Check-up Early: Don’t wait until the last minute. Aim to see your dentist at least 4–6 weeks before your scheduled surgery. This allows time for any necessary treatment and healing.
2.Treat Any Existing Problems: Your dentist may recommend fillings, extractions, a deep cleaning (scaling and
root planing), or even antibiotics to reduce the risk of infection.
3. Share Your Medical History: Always let your dentist know about your heart condition, medications
(especially anticoagulants or blood thinners), allergies, and the type of surgery you’re planning.
4.Follow Good Oral Hygiene Practices:
• Brush twice daily with fluoride toothpaste
• Floss daily
• Use an antibacterial mouthwash if recommended
• Avoid smoking and reduce sugar intake
5. Ask About Antibiotic Prophylaxis:
Some heart conditions may require you to take antibiotics before dental procedures to prevent infective endocarditis. Your cardiologist and dentist will determine if this applies to you.