A place exclusively for people aged 39 and over to discuss issues affecting older GUCHs

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Postby Sandra164 » Fri Dec 11, 2015 6:08 pm

Hello, I've just been told I need root canal treatment on my bottom front teeth. I'm really concerned as I've got a replacement pulmonary valve (bovine) and repaired TOF. Has anyone had root canal treatment and is it ok to have? Also will I need antibiotics before to be safe? Any replies will be great. I think I need reassurance with local aesthetic. Sandra
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Postby Midgey18 » Sun Dec 13, 2015 10:40 pm


Sorry, I am quite a bit younger but have been in a very similar position- repaired TOF with severe valve efficiency and mild dysfunction no replacement yet.

My cardiologist basically said to me that the National Institute of Clinical Excellence Guideline state that antibiotics should not be given in advance and she stands by that advice as the overuse leads to resistance and resistance affects everyone including us. The evidence actually shows giving antibiotic cover does not statistically reduce the chance of infection as a complication of dental care in guch patients so has no benefit. The only time my GUCH Cardiologist said she would change from that advice would have been if I had previously contracted Infective Endocarditis in which case yes she would have had them given as a just in case. So my advice if you have previously had Endocarditis consult your cardiologist.

Can I add also this advice was given to me not for simple dental treatment either so the time at which she would disband it in your case maybe different- it was for oral and maxillo facial surgery, where as a result of a congenital defect my hard palate was not big enough and my tooth was fused to my nose. I the skin of over half of the roof of my mouth was removed and not replaced- it took about 8 weeks for the surgery to heel so not exactly a small chance of infection in that time for me.

Advice for avoiding infection- between now and the treatment try brushing your teeth three- five times a day instead of two to reduce bacteria your mouth during the treatment. Even if you can not brush afterwards- use mouth wash instead that night again to keep bacteria at a minimum an get back to brushing as soon as possible. I did it the next day despite it being very painful. Again while it is healing try and brush more often than normal- the most effective way to prevent infection is to keep it clean and bacteria at a minimum. Also be prepared each time you brush to check for infection signs- your dentist can tell you what these are- so you can respond to them quickly. Here it is important you explain to your dentist why prompt action is important if you display signs of infection- but they should already know that about you, you may just wish to remind them.

like anything if concerned ring your consultant or nurse specialist and it will be fine.
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Postby Tricky Dicky » Fri Dec 18, 2015 10:07 am

I was also advised to floss and use one of those little interdental brushes as well as regular brushing to keep my teeth in tip-top condition.
Tricky Dicky
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