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Thursday, November 20, 2014
Dental and Oral Health (Seniors)
Flossing with Mitral Prolapse
Do you recommend flossing of your teeth daily as part of regular toothcare in a person who has congenital mitral prolapse with 3+ to 4+ regurgitation?
I am specifically inquiring whether there is an increased risk of bacterial septicemia or endocarditis under these circumstances or should one floss anyway!
The American Heart Association guideline on pre-medicating Dental patients at risk of developing subacute bacterial Endocarditis includes patients with a history of Mitral Valve Prolapse with Regurgitation. The question of whether flossing will cause sufficient bleeding to warrant taking antibiotics prophylaxis is not clear. My suggestion is if flossing is done carefully without causing bleeding then the risk is small of infection. Otherwise defer frequent flossing until cleaning is done every 3 months with pre-medication by a Dental Hygienist.
Abdel Rahim Mohammad, DDS, MS, MPH, FAAOM, FACD
Clinical Professor of Geriatrics
College of Dentistry
The Ohio State University