Maintaining oral hygiene is vital for reducing the risk of gum diseases like gingivitis and periodontitis, and it also decreases the chance of bacteria entering the bloodstream. This is crucial because everyday activities like brushing can cause bacteremia, which is more likely to lead to infective endocarditis (IE) than dental procedures. Studies have shown that people with poor oral hygiene have a significantly higher risk of bacteremia, underscoring the importance of regular dental care.

Antibiotic prophylaxis is recommended for individuals with the highest risk of adverse outcomes from IE, such as those with prosthetic heart valves or certain congenital heart conditions. The American Heart Association guidelines have narrowed the criteria for who should receive antibiotics before dental procedures, focusing on those most at risk. For most people, maintaining good oral hygiene is more effective than antibiotics in preventing IE.

Invasive dental procedures can increase the risk of IE, particularly those that manipulate the gums or oral tissues. However, routine dental cleanings are not typically a concern. The greatest risk comes from procedures like tooth extractions and oral surgery, highlighting the need for careful assessment of risk before treatment.

Good oral hygiene is a simple yet effective way to protect your heart health.