6 months is the acceptable protocol. You can also consult with the cardiologist for appropriate parameters of time.
However, years ago I updated health history and when it was exam time the dentist asked the patient….”so Harry, how have you been?” Patient says “pretty good Doc……did you hear I had a heart attack last month?” I got a stern look from the boss man and I defended myself really quick. The patient was fine.
I’ll never forget that ever!!
Your license could be compromised if you knew about the heart attack and did not consult with cardiologist and something did in fact happen to patient after you performed prophylaxis earlier than 6 months and if the family chooses to legally pursue the dental office for damages.
I’m very embarrassed to say I never knew that there was a six month wait after heart attack pts…luckily, I don’t think I’ve encountered that situation…but I’d be grateful if someone could tell me the rationale behind the wait! Thx!
Some heart issues are 3 months from the procedure, some are 6 months…its wise for every office to have both wait after surgery recommendations and premed recommendations printed and posted in a central location to reference
Typical recommended wait time:
• Heart bypass surgery – three-month wait
• Pacemaker – three-month wait
• Stent – six-week to three-month wait
• Angioplasty or catheterization – no wait
• Artificial valves/pig valves or shunts – minimum three-month delay for dental treatment and lifelong antibiotic prophylaxis before dentistry
practicing 28 years and other then pre med for heart valve replacement I was unaware of any protocol for heart attacks.
If an employer insists on you treating a patient prior to the 6 month period, make you you note that in the chart, ie;prophy done as per Dr.
I believe it is because of the risk of bacterial endocarditis.
I haven’t heard about this waiting period guideline before either… I’m embarrassed!
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