Abstract

More medically vulnerable individuals, including those at risk of getting infectious endocarditis and other cardiac diseases, are seeking orthodontic treatment as a result of access to high-quality healthcare. There aren't many current recommendations for cardiac health and orthodontic treatment. The goal of this review is to give an evidence-based update on how orthodontic treatments and cardiac health are related. We looked for published English-language literature on cardiac health and orthodontics in PubMed, Ovid Medline, and Google Scholar. Between October 2017 and December 2022, endocarditis, antibiotic prophylaxis, cardiac, medical problems, medically compromised, orthodontics, and dentistry were among the search terms used in the literature review. Additionally, a thorough search of the references of the chosen papers was done. It was observed that bacteremia is a precondition for heart disease. Orthodontic procedures such as insertion of separators, installation of bands, removal of expanders and placement of micro implant have also been observed to significantly increase bacteremia. The use of elective invasive procedures that are likely to result in bacteremia should be avoided because there is a lack of high-quality data and the AHA guidelines must be consulted before performing orthodontic treatment in patients having cardiac problems.

Description