Managing Mild Mitral Valve Prolapse: The Importance of Periodontal Treatment

Q: Managing Mild Mitral Valve Prolapse: The Importance of Periodontal Treatment

Hi Peter： Essentially, mitral valve prolapse is a quite common condition, and many people attribute unexplained palpitations or chest pain to it. <br>However, so far, surgical treatment is only considered if there are significant symptoms (such as severe regurgitation affecting h

Mild mitral valve prolapse requires periodontal treatment?

Hello Doctor: I have mild mitral valve prolapse, which was discovered during an echocardiogram in middle school.
Since then, I have undergone about five echocardiograms over the past five years, all showing mild mitral valve prolapse.
A few months ago, I consulted with my family physician, who reviewed my previous reports and noted that there was no regurgitation.
Recently, I had my first two periodontal treatments, which included full mouth scaling and root planing, and local anesthesia was administered.
The dentist asked me if I had any blood reflux, to which I replied no.
Before the first periodontal treatment, the dentist prescribed anti-inflammatory medication; I did not take any for the second treatment.
After both treatments, I returned home and slept for 10 hours, but after waking up from the second treatment, I felt very tired and a bit weak at work, although everything else was fine.
Should I take anti-inflammatory medication as a precaution before such treatments, considering that the probe penetrates the periodontal pockets and there was some bleeding? I initially went to the dentist because one of my gums was swollen, and there was bleeding when the probe was inserted.
The next day, I experienced persistent pain in my left chest, and the doctor prescribed antibiotics.
Thank you, Doctor.

peter, 40~49 year old female. Ask Date: 2010/09/25

Dr. Ding Zhizhong reply Cardiology

Hi Peter: Essentially, mitral valve prolapse is a quite common condition, and many people attribute unexplained palpitations or chest pain to it.
However, so far, surgical treatment is only considered if there are significant symptoms (such as severe regurgitation affecting heart function or causing structural changes in the heart—like cardiomegaly).
Most cases are managed conservatively.
Regarding the use of antibiotics, it is to prevent bacterial endocarditis.
Since you have not undergone any artificial implants (such as prosthetic valves) and there are no significant structural abnormalities in your heart (like atrial or ventricular septal defects), the benefits of using antibiotics are not significantly different (meaning they may not be necessary).
As for your post-operative weakness, it could be a reaction to the anesthetics or a manifestation of transient bacteremia; resting for a while should help.
Of course, if you experience unexplained fever or chills, you should seek medical attention.
After all, individuals who have not undergone dental procedures can also develop endocarditis, right? Wishing you good health and a hearty appetite (eating without tooth pain)!

Reply Date: 2010/09/25

More Info

Managing mild mitral valve prolapse (MVP) requires a comprehensive approach, particularly when it comes to oral health. Your situation highlights the intricate relationship between periodontal health and cardiovascular conditions. Mitral valve prolapse is a common heart condition where the valve between the heart's left atrium and left ventricle doesn't close properly, which can lead to complications if not managed appropriately.
The connection between periodontal disease and cardiovascular health has been well-documented. Studies suggest that individuals with periodontal disease may have a higher risk of developing heart disease, including conditions like MVP. This is primarily due to the bacteria present in the mouth that can enter the bloodstream, potentially leading to infections in other parts of the body, including the heart. Therefore, maintaining good oral hygiene and seeking regular dental care is crucial for individuals with MVP.

In your case, undergoing periodontal treatment, such as scaling and root planing, is essential. These procedures help remove plaque and tartar from below the gum line, which can reduce inflammation and prevent further periodontal disease. The fact that you experienced some bleeding during the probing indicates that there may be underlying gum disease that needs to be addressed.
Regarding the use of antibiotics before dental procedures, it is often recommended for patients with certain heart conditions, including those with a history of infective endocarditis or significant heart valve issues. While your MVP is currently classified as mild and without regurgitation, it is prudent to consult with both your cardiologist and dentist about the necessity of prophylactic antibiotics before dental treatments. The American Heart Association guidelines suggest that antibiotic prophylaxis may be necessary for patients with certain heart conditions undergoing dental procedures that may cause bleeding.

The fatigue and malaise you experienced after your dental treatments could be attributed to several factors, including the effects of anesthesia, the body's response to the dental procedures, or even anxiety related to the treatments. It’s not uncommon for patients to feel tired after dental work, especially if they have undergone extensive procedures. However, if you continue to feel excessively fatigued or if your symptoms worsen, it would be wise to follow up with your healthcare provider.

In summary, managing mild mitral valve prolapse involves not only regular monitoring of your heart condition but also diligent attention to your oral health. Periodontal treatment is vital, and discussing the need for antibiotics with your healthcare providers can help prevent potential complications. Regular dental visits, good oral hygiene practices, and being aware of any changes in your health are key components in managing both your cardiovascular and periodontal health effectively. Always keep an open line of communication with your healthcare providers to ensure that all aspects of your health are being considered in your treatment plan.

Similar Q&A

Mitral Valve Prolapse and Dental Treatment: Do You Need Antibiotics?

Hello, I was diagnosed with mild mitral valve prolapse during middle school, and sometimes I experience slight regurgitation. I have read online that many people say that those with mitral valve prolapse must take antibiotics before dental treatments to prevent endocarditis. I wo...

Dr. He Dongjin reply Cardiology
Hello, if you have mitral valve prolapse, there is a risk of developing infective endocarditis. If you are concerned, you can inform your physician to consider adding antibiotics for extra reassurance. Changhua Hospital cares about your well-being.

Managing Mitral Valve Prolapse: Treatment Options and Medication Guidance

In 2003, I visited the emergency department due to suspected panic attacks, and the electrocardiogram (ECG) showed no abnormalities. In 2006, a health check revealed ST segment or T wave changes, and I was diagnosed with "myocardial infarction" at a regional hospital. A...

Dr. He Dongjin reply Cardiology
Dear Tony, I also believe that there is no need for aggressive treatment of mitral valve prolapse; instead, focusing on mental health treatment is sufficient. Taking Inderal can help avoid tachycardia. I am skeptical about the claim that it protects the heart, and considering the...

Understanding Mitral Valve Prolapse and Mild Regurgitation: Key Insights

Hello, doctor. I previously visited a pediatrician for a cold and was found to have a suspected heart murmur (which I did not have before). I was advised to undergo an echocardiogram, and I was recently diagnosed with "mitral valve prolapse with mild mitral regurgitation.&qu...

Dr. Li Han reply Cardiology
Hello, based on your description, you were found to have mitral valve prolapse with mild regurgitation due to an incidental finding of a heart murmur. The advice given by your previous physician was correct: "You are very healthy, just stay happy, no medication or follow-up ...

Managing Mitral Valve Prolapse: Dietary and Lifestyle Tips

What should I pay attention to in my daily diet and lifestyle if I have mitral valve prolapse with regurgitation?

Dr. Zhong Yuxun reply Cardiology
Hello, Nini online friend: Please consult a cardiologist for diagnosis and treatment, and improve your lifestyle by quitting smoking, reducing oil and salt intake, controlling your weight, exercising more, and maintaining good sleep hygiene. Dr. Chung Yu-Hsuan