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This is AHA Recommendation

Several heart problems require you and your dentist to take special precautions.

These recommendations are especially important for people with

* prosthetic heart valves

* a previous history of endocarditis

* certain congenital heart defects such as

o unrepaired cyanotic congenital heart disease, including those with palliative shunts and conduits

o completely repaired congenital heart disease with prosthetic material or device,
whether placed by surgery or catheter intervention, during the first six months after the procedure°

o repaired congenital heart disease with residual defects at the site of or
adjacent to the site of a prosthetic patch or prosthetic device (which inhibit endothelialization)

* cardiac transplantation recipients with cardiac valvular disease

As someone with heart disease, you have three responsibilities:

1. Establish and maintain a healthy mouth. Practice good oral hygiene and visit your dentist regularly.

2. Make sure your dentist knows you have a heart problem.

3. Carefully follow your physician’s and dentist’s instructions when they prescribe special medications such as antibiotics.

Your dentist will ask about the nature of your heart problem.
He or she will also ask what medications, if any, you’re taking for it.
Also be prepared to give your dentist your physician’s name and address and your permission to consult your physician about your heart problem.

You can download from their website: Infective Endocarditis Wallet Card

http://www.americanheart.org/presenter.jhtml?identifier=3003000

Root canal treatment in clinics

If you have a dead tooth. Very pain, or long term, stabbing pain.
After that it not function well or carious tooth.
Death tooth will cause no pain anymore.

You need to see dentist for treatment. Check your tooth
give complaint and examination to dentist. They will
make a diagnosis and treatment plan. Usually the cause is very deep caries.
Diagnosis is irreversible pulpitis.