What is a common concern regarding dental treatment in patients with congenital heart disease (CHD)?

The concern regarding dental treatment in patients with congenital heart disease (CHD) primarily revolves around the risk of endocarditis. Endocarditis is an infection of the inner lining of the heart or heart valves, which can occur when bacteria from the mouth enter the bloodstream, especially during dental procedures. Patients with certain types of CHD are at a higher risk for this complication because their heart structure may be abnormal, which can facilitate bacterial colonization and make them more susceptible to infections.

Preventive measures, such as prophylactic antibiotics before dental procedures, are often recommended for these individuals to mitigate the risk of endocarditis. This focus on preventing infection highlights the unique considerations that dental professionals must take into account when treating patients with congenital heart conditions.