Medical Emergencies · single question

A patient is scheduled for cardiac valve surgery in two weeks and is sent for dental clearance. You find heavy plaque and two non-restorable (hopeless) teeth. The best plan is to:

  1. Defer all dental care until after the heart surgery
  2. Perform a prophylaxis only
  3. Perform a prophylaxis AND extract the hopeless teeth before surgery
  4. Extract all of the patient's teeth
Show answer and explanation

Correct answer: C. Perform a prophylaxis AND extract the hopeless teeth before surgery

  • A. Active oral infection should be eliminated BEFORE valve surgery to reduce endocarditis risk.
  • B. Cleaning alone leaves hopeless infected teeth behind.
  • C. Correct. Eliminate oral infection sources (extract hopeless teeth) and reduce plaque before cardiac surgery.
  • D. Removing all teeth is excessive and unnecessary.

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