A member asked:

Is novocain dangerous for someone w/ a leaking heart valve? they need to have a tooth extracted but are worried about the shot. if someone has a history of having a leaking valve in the heart but needs there tooth pulled out due to an infection and cavity

3 doctors weighed in across 3 answers

"Novacaine" : "novacaine" is no longer used in dentistry. There are other anesthetics that are available. After your complete medical history is reviewed, it will be evaluated and a proper way to procede will be formulated. Make sure you bring your medical history from your cardiologist so your dentist can review it.

Answered 10/3/2016

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Dr. Alan Zweig answered

Specializes in Prosthodontics

There : There is no problem with the anesthetic and a heart valve. The problem stems from the possibility of infection entering the blood during the procedure and lodging on the affected valve. If the cardiologist deems it necessary, then all you need to do is to take the appropriate antibiotic before the procedure to reduce the chance of an infection. Talk to both your dentist and physician to prepare yourself for this necessary procedure.

Answered 10/4/2016

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Dr. Lance Timmerman answered

Specializes in Cosmetic Dentistry

The : The anesthetic is less of a concern than bacteria entering the blood during the extraction. If the cardiologist feels it necessary, antibiotics before and after should make it safe.

Answered 10/4/2016

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