C O N G E N I TA L H E A RT

D I S E A S E / M I T R A L VA LV E
PROLAPSE
Manessah Cox, Joy Warwick, & Denise Wold

 Mitral Valve Prolapse a valvular heart disease

characterized by the displacement of an abnormal
mitral valve leaflet into the left atrium during
contraction.
AKA Click-Murmur Syndrome
Found in 2-3% of the population
Females affected twice as often as males
Treatment: Medication or surgery
Medications: Beta blockers, diuretics, and heart rhythm
medications

 Premeds are not always required

Medical release is suggested
More susceptible to caries and periodontal disease
due to medications
Important to take prescribed medications and
maintain good oral health
Good oral health can reduce the risk of endocarditis
Oral bacteria can be harmful or fatal to patient

 Rinsing with chlorhexidine gluconate or providoniodine is recommended prior to dental procedures

periodontal probing, extractions, implant placement
and tooth reimplantation, periodontal treatment
procedures likely to cause bleeding, endodontic
surgery or instrumentation beyond the root apex,
subgingival placement of antibiotic fibers or strips,
and the use of oral irrigators or air abrasive polishing
devices
Routine periodontal therapy no appropriate within
the 1st 6 months of valve replacement
frequent recall visits
proper nutrition, as well as terminating or decrease
the use of tobacco and alcohol

1. What percent of the population is affected by this

disease?
2. How can MVP be treated?
3. Patients with Congenital Heart Disease/Mitral Valve
replacement are at a risk
of what condition if they dont
maintain proper oral health?
4. Are antibiotics actually required for patients with CHD?
Why or Why not?
5. How long is required to wait before performing routine
periodontal therapy after valve placement?
6. What procedures can produce transient bacteremias?
7. How long of interval is required if a series of dental
procedures is required?

Rethman, Michael P. New Guidelines for Antibiotic

Premedication. The Journal of Professional Excellence.
Dimensions of Dental Hygiene, May 2007. Web 19
November 2015.

Wilkins, Esther M. Clinical Practice of the Dental

Hygienist. Philidelphia: Lippincott Williams & Wilkins,
2013. Print
Adult Congenital Heart Disease and Dental Issues:
Whats Up With Preventive Antibiotics? Adult Congenita
Heart Association.

Rethman, Michael, P. New Guidelines for Antibiotic

Premedication. Dimensions of Dental Hygiene. April
2007. dimensionsofdentalhygiene. Web. Nov 2015
J Periodontal 2002;73:954-968