A member asked:

Gum disease and surgery i am having bypass surgery and have severe gum disease in a part of my mouth have not gone to the dentist yet because i want to wait until after my surgery. want to know will this affect my surgery in anyway? i know that dental pro

9 doctors weighed in across 5 answers
Dr. Steven Guyton answered

Specializes in Thoracic Surgery

The best answers you can get to this issue will be from your cardiologist and your cardiac surgeon. They will have all the information regarding the condition of your heart and the heart valves, which can be particularly susceptible to infection from dental work. Gum surgery can cause bacteria to enter your bloodstream. The bacteria can then lodge on abnormal heart valves or in areas that have been recently operated on. Your dentist or oral surgeon can give you the best advice regarding the risk of bloodstream contamination from your gum surgery. All three of these health professionals should be involved in determining the best course. This may mean waiting for a time after bypass surgery to have your gum disease addressed, or your gum disease may need to be addressed first. It all depends on the specifics of your individual case. - how urgent yous bypass surgery is and how severe your gum disease is.

Answered Oct 3, 2016

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Dr. Robert Binford answered

Specializes in Thoracic Surgery

Gun and dental disease is more of a concern with valvular heart disease. This increases the risk of infection spreading to the valves of your heart and especially an artificial valve. That is why you need to take antibiotics before any dental procedure if you have valve disease or had a valve replacement. It is not as much of an issue if you are just undergoing bypass surgery. However, there have been studies that show that poor dental hygiene is associated with coronary artery disease as well. The timing of surgeries is often determined by the relative severity of your problems. This can only be determined by your physicians.

Answered Oct 3, 2016

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Dr. David Greenfield answered

Specializes in Thoracic Surgery

If you are only having bypass surgery and not any heart valve surgery at the same time, it should be ok to go ahead with the bypass surgery and see the dentist afterward. However, you are correct that dental disease cause heart problems and it will be very important that you do see the dentist shortly after the bypass surgery. If there is any heart valve surgery involved, you should see the dentist first.

Answered Oct 4, 2016

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Dr. I. Jay Freedman answered

Specializes in Dentistry

Being part a teaching hospital's dental division for nearly 25 years, i would be shocked if you had your open heart surgery without a dental clearance first. Although the exact linkage isn't fully understood, there is a connection between gum and heart disease. Unless you need emergency heart surgery, you are going to need to get your gum disease treated first. It could be a life or death choice!

Answered Dec 10, 2013

4.9k views

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Dr. John Francis answered

Specializes in Periodontics

If your heart surgeon knows about this infection you have in your mouth, many physicians want the gum infection treated first before doing heart surgery.

Answered Nov 10, 2015

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