Should You Have a Dental Extraction Before a Cardiac Surgery?

An interesting article titled “Morbidity and Mortality Associated With Dental Extraction Before Cardiac Operation,” appears in the March 2014, journal The Annals of Thoracic Surgery (vol. 97, issue 3, pp. 838-844). The article is conducted by researchers from Mayo Clinic. They found that people who had planned dental extraction before cardiac operation are at risk for major adverse outcomes, which included a 3% risk of death before cardiac operation and included an 8% risk of a major adverse outcome including stroke or kidney failure. In many cases problem teeth are extracted before surgery with the thought being that they will reduce the risk of an infection occurring such as endocarditis which is an infection of the inner lining of the heart. Prosthetic heart valve-related endocarditis results in about 25% of infective endocarditis cases and is fatal in up to 38% … Read more

Focal Infection Theory

I think it is important for everyone to read over the article on Wikipedia regarding focal infection theory Focal infection theory (FIT) is the idea that a local infection affecting a small area of the body can lead to subsequent infections or symptoms in other parts of the body due either to the spread of the infectious agent itself or toxins produced from it. Let’s look at an article from 1938 by Russell L. Cecil and D. Murray Angevine, “Clinical and experimental observations on focal infection with an analysis of 200 cases of rheumatoid arthritis,” Ann Int Med 12(5):577-84 “But even in America, the home of focal infection, scientific men are becoming a little wearied of the universal acceptance of a theory as though it were an established fact. For example, one of our leading pathologists has satirically described a focus of … Read more