Invasive Dental Treatment and Associated Risk of First Myocardial Infarction Episode

Invasive dental treatment has been linked to transient increase in the risk for intravascular inflammation and endothelial dysfunction leading to increased cardiovascular risk i.e., Myocardial Infarction. It is known that invasive dental treatment may provide long term reduction in cardiovascular risk but a study has suggested a short termed transient increase in cardiovascular risk during the first four weeks after invasive dental treatment. The study was a self-controlled case series which used U.S Medicaid data to evaluate cardiovascular risk in 1152 patients (who acted as controls for themselves) within 24 weeks post invasive dental treatment. In another study there was increase in levels if inflammatory mediators during the first 24 hours of inflammatory mediators during the first 24 hours of intensive dental therapy with a transient decrease in their levels during the following one week. Certain other studies also support the above-mentioned finding. A randomised case control study conducted within nationwide health care and population registries in Sweden including 1,880 individuals (5 controls each) with first episode of Myocardial Infarction within the course of the study. The study concluded the lack of association of invasive dental treatment and Myocardial Infarction. Hence, the hypothesis that invasive dental treatment associated with development of risks of cardiovascular events is still inconclusive. But the long-term benefits of invasive dental procedures certainly overweigh the shortterm transient cardiovascular risk.