A patient with repaired Tetralogy of Fallot (ToF) presents to the pediatric dental clinic. The BEST next step is:

Correct answer: C. Consult with pediatric cardiologist before dental treatment

• A. Treating as a normal patient without cardiac consultation could be dangerous.
• B. Automatically providing antibiotics without cardiologist guidance may or may not be indicated, depending on the surgical repair and residual defects.
• C. Correct. Even after surgical repair, patients with Tetralogy of Fallot may have residual cardiac defects, arrhythmias, or hemodynamic issues. A consultation with the pediatric cardiologist is essential to determine whether antibiotic prophylaxis is needed and whether the patient is cleared for dental treatment.
• D. Pediatric dentist manages the dental needs, but cardiac clearance must come from the cardiologist.