Abstract

Congenital heart disease is one of the most common developmental anomalies. While many such conditions are apparent in the neonate, a significant proportion do not come to light until the child is older, or even later on in adult life. Medical history is mandatory prior to the treatment. Children will have Low irregular fever, with sweating, malaise, anorexia, weight loss and arthralgia. Pulp therapy of the primary tooth is not recommended and extraction of the offending tooth is preferred. Distal shoe space maintainer not advocated. In permanent dentition, endodontic therapy may be undertaken, to reduce anxiety and minimize the risk oral sedation and nitrous oxide analgesia may be beneficial. Appointments should be scheduled in short times and in the mornings. Local anesthesia should be injected slowly and with recommended doses in each condition. Antibiotic Prophylaxis is recommended in all dental procedures involving the manipulation of gingival tissue, the periapical region of the teeth, or perforations of the oral mucosa, such as extractions, endodontic treatment surpassing the periapical limits, the placement of retraction sutures, biopsies, suture removal, the placement of brackets, or buccal cleaning operations, among other. Prophylaxis in turn is not recommended in the routine injection of anesthetic solutions in non-infected tissues, dental X-rays, the placement of removable dentures or orthodontic devices, loss of temporal teeth, or bleeding. Children who are in anticoagulant therapy hematological monitoring and cessation of therapy is important. This article discusses about etiology, clinical features and management of children with cardiovascular diseases.

Keywords: Bacterial Endocarditis; Children; Cardiovascular Disease; Dental Management; Rheumatic Fever

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