Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI (2021) – 0.5
Average rejection rate (2022) – 79.69%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2019, vol. 56, nr 3, July-September, p. 291–298

doi: 10.17219/dmp/109232

Publication type: review article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Dental treatment of post-myocardial infarction patients: A review of the literature

Leczenie stomatologiczne pacjentów po przebytym zawale mięśnia sercowego – przegląd piśmiennictwa

Renata Samulak-Zielińska1,A,B,D,F, Elżbieta Dembowska1,D,E,F, Piotr Lizakowski2,B,D,E,F

1 Departament of Periodontology, Pomeranian Medical University in Szczecin, Poland

2 Specialist Medical Practice in Szczecin, Poland


Patients who have suffered a heart attack often require dental treatment. The inflammation of the oral cavity not only reduces the quality of life, but also negatively affects the course of ischemic heart disease. Dental treatment in patients with a history of myocardial infarction seems complicated, since these patients require special consideration with regard to the timing and form of dental treatment as well as to the precautions required. Patients at risk of cardiac complications that are greater than the benefits of dental treatment should be identified and only the most urgent conditions should be treated. The aim of this study was to present the latest guidelines for dental treatment in patients who have suffered myocardial infarction. We reviewed the available literature explaining when dental treatment can be undertaken, whether antibiotic prophylaxis is required, whether the patient can be anesthetized locally, and how to provide the maximum safety during the visit. The principles of the surgical treatment of patients receiving drugs that affect hemostasis were also reviewed.

Key words

dental care, oral anticoagulants, antibiotic prophylaxis, myocardial infarction

Słowa kluczowe

opieka stomatologiczna, doustne antykoagulanty, profilaktyka antybiotykowa, zawał mięśnia sercowego

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