Several heart problems require you and your dentist to take special precautions. Ask your physician for an Infective Endocarditis Wallet Card, or download our free card (also available in Spanish).

These recommendations are especially important for people with

• prosthetic heart valves
• a previous history of endocarditis
• certain congenital heart defects such as
  • unrepaired cyanotic congenital heart disease, including those with palliative shunts and conduits 
  • completely repaired congenital heart disease with prosthetic material or device, whether placed by surgery or catheter intervention, during the first six months after the procedure° 
  • repaired congenital heart disease with residual defects at the site of or adjacent to the site of a prosthetic patch or prosthetic device (which inhibit endothelialization)
• cardiac transplantation recipients with cardiac valvular disease

As someone with heart disease, you have three responsibilities:

1. Establish and maintain a healthy mouth. Practice good oral hygiene and visit your dentist regularly.
2. Make sure your dentist knows you have a heart problem.
3. Carefully follow your physician's and dentist's instructions when they prescribe special medications such as antibiotics.

Your dentist will ask about the nature of your heart problem. He or she will also ask what medications, if any, you're taking for it. Also be prepared to give your dentist your physician's name and address and your permission to consult your physician about your heart problem.

The Council on Dental Therapeutics of the American Dental Association has approved the American Heart Association's statement as it relates to dentistry. If healthcare professionals request the guidelines for people who have prosthetic limbs or joints, refer them to the American Dental Association at (312) 440-2526.

° Prophylaxis is recommended because endothelialization of prosthetic material occurs within six months after the procedure.