According to a recent press release, a new study released by the Mayo Clinic has debunked current thinking of the necessity to remove infected teeth prior to surgery to lower the risk of infection, inflammation or death post-surgery. Dental extraction of an infected tooth is commonly practiced worldwide to prevent complications following invasive surgery.

Cardiac surgeon, Joseph A. Dearani, MD, teamed up with two anesthesiologists, Mark M. Smith, DMD and Kendra J. Grim, MD, along with colleagues from the Mayo Clinic in Rochester, Minn. conducted a study consisting of 205 patients. Each patient underwent at least one dental extraction prior to planned cardiac surgery from 2003-2013. The time period from dental extraction to cardiac surgery was average of 35 days amongst the patients.

Although dental extraction is a fairly minor procedure with the risk of death less than 1 percent, this study indicates that the adverse side effects are much higher in those who have a dental extraction prior to cardiac surgery than those that do not.

At the conclusion of this study, patients that underwent dental extraction prior to cardiac surgery experienced an 8 percent incidence of adverse outcomes, which included another heat attack, stroke, kidney failure and even death. In addition, 3 percent of the patients died after the dental extraction before their planned cardiac surgery even occurred.

For more information visit the newsroom of The Society of Thoracic Surgeons.


Comments

Commenter's Profile Image Carl Crutchfield
March 4th, 2014
I'm confused. So are we saying that in a generally healthy (for all we know) population where the risk of death from exodontia is under 1%, the increase of risk to 3% in those requiring HEART SURGERY to prevent imminent death is aberrant or somehow unacceptable, or even related to the extraction itself? How about this, what percentage of patients not indicated for cardiac surgery experienced similar "adverse outcomes" as the aforementioned study? I'm going to say likely very few. Let's call a spade a spade and recognize the bad heart as the culprit here and not the removal of teeth. Someone show me the research that shows what happens to cardiac patients who don't get teeth extracted prior to surgery, and I'll lend an ear to that conversation.
Commenter's Profile Image Larry Gottesman
March 10th, 2014
http://icvts.oxfordjournals.org/content/12/5/696.full Article takes Carl's side.