Congenital cardiac disease (CCD), one of the most common developmental anomalies in children, occurs in approximately 8-10 of 1000 live births.
With better medical care in recent years, most of these children survive well into adulthood.
The dental management of children with CCD needs special consideration for several reasons.
First, these children are predisposed to develop infective endocarditis from bacteremia induced by dental procedures as well as from chronic poor oral health.
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Second, severely affected children may have reduced tolerance to the stress induced by dental treatment.
Third, complications of CCD such as hematological, respiratory and immunological problems, and drug interaction with chronic medications, must all be considered in planning dental treatment for children with CCD.
Kerrod B. Hallett / Dorothy J. Radford / W. Kim Seow