Patient Advice - Endocarditis and Dental Care

  • Infective endocarditis and what you can do to avoid it

    • Endocarditis is a rare infection of the inside the heart or the main arteries.
    • It most commonly affects one or more of the heart valves but may also occur around holes between the heart chambers, at the site of abnormalities in the walls of arteries or at the site of previous heart or arterial surgery.
    • It is a serious condition and can cause major damage to the heart valves and may even cause stroke or death.
    • Most endocarditis occurs in patients already known to have heart abnormalities.
    • Most patients with congenital heart disease are at increased risk of getting endocarditis.
    • The only exceptions being isolated atrial septal defects or patients who have had completely curative treatment.
  • Recognising endocarditis

    • Patients with endocarditis develop a temperature and feel generally unwell, with symptoms very similar to having the flu.
    • Flu is very common and usually resolves after about a week.
    • Flu like symptoms with a temperature which persists for longer than a week should be reported to your cardiologist, not just to your GP, so that specialist tests can be carried out to check for endocarditis.
  • Reducing the risk of getting endocarditis

    • Endocarditis can only occur if bacteria get into the bloodstream (called bacteraemia). Although it is not possible to prevent all bacteria getting into the bloodstream, there are some things you can do to reduce the risk of getting endocarditis.
    • Everybody carries bacteria in the mouth. These are usually harmless, but if the teeth or gums become diseased it becomes much easier for large numbers of bacteria to get into the blood, with the risk they may settle in the heart and cause endocarditis.
    • Good dental care and oral hygiene are therefore particularly important to reduce risk of endocarditis.
    • Apart from regular tooth brushing, regular check ups at the dentist are essential to minimise the risk of endocarditis.
    • The dental hygienist at your dental surgery will give advice on how to look after teeth and gums.
  • If you have difficulties finding a dentist

    • Visit the NHS website which keeps a directory of local services
    • If you require urgent dental care and do not have a dentist then call NHS 111

    Other issues relating to the risk of endocarditis

    • Ear piercing, body piercings, tattooing or invasive cosmetic procedures (such as lip fillers or cosmetic tattooing) can lead to infections which may cause endocarditis.